Provider Demographics
NPI:1780809293
Name:ACCESS POINT FAMILY SERVICES INC.
Entity type:Organization
Organization Name:ACCESS POINT FAMILY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LSW
Authorized Official - Phone:208-522-4026
Mailing Address - Street 1:2680 CHANNING WAY
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7517
Mailing Address - Country:US
Mailing Address - Phone:208-522-4026
Mailing Address - Fax:280-522-4138
Practice Address - Street 1:5565 YELLOWSTONE AVE
Practice Address - Street 2:
Practice Address - City:CHUBBUCK
Practice Address - State:ID
Practice Address - Zip Code:83202-2126
Practice Address - Country:US
Practice Address - Phone:208-478-9344
Practice Address - Fax:208-478-9368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)