VALLEY FAMILY HEALTH CARE, INC (NPI# 1932139995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932139995 |
| Entity Type | Organization |
| Organization Name | VALLEY FAMILY HEALTH CARE, INC |
| Practice Address |
207 E 12th St Emmett ID 83617-3626 |
| Mailing Address |
1441 Ne 10th Ave Payette ID 83661-5420 |
| Practice Telephone | 2083651065 |
| Practice Fax Number | 2083651068 |
| Mailing Telephone | 2086429376 |
| Mailing Fax Number | 2086429598 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | JENNIFER RODRIGUEZ (PAYER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 2086429376 |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY FAMILY HEALTH CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 002548800 | 05 | |
| ID | COMMUNITY HEALTH CENTER | FQHC | 01 |
| ID | HEALTHY CONNECTIONS | 002549000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235166562 | Valley Family Health Care, Inc | Family Medicine | 789 Washington St W, Vale, OR 97918-1147 | 2006-06-26 |
| 1316402258 | Valley Family Health Care, Inc | Family Medicine | 1219 Sw 4th Ave Unit 2, Ontario, OR 97914-4500 | 2019-02-05 |
| 1184135337 | Valley Family Health Care, Inc | Clinic/Center | 1441 Ne 10th Ave, Payette, ID 83661-5420 | 2017-10-16 |
| 1962580027 | Valley Family Health Care, Inc | Pediatrics | 1219 Sw 4th Ave, Suite 1, Ontario, OR 97914 | 2006-11-02 |
| 1336167121 | Valley Family Health Care, Inc | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-07-18 |
| 1588699524 | Valley Family Health Care, Inc | Dentist | 17 N 6th St, Nyssa, OR 97913-3477 | 2006-07-11 |
| 1083641310 | Valley Family Health Care, Inc | Family Medicine | 17 S 3rd St, Nyssa, OR 97913-3815 | 2006-06-26 |
| 1992732291 | Valley Family Health Care, Inc | Family Medicine | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-06-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | VALLEY FAMILY HEALTH CARE, INC. | 1441 Ne 10th Ave, Payette, ID 83661 |
| Street Address |
207 E 12TH ST |
| City | EMMETT |
| State | ID |
| Zip Code | 83617-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574487 | Bryan Stone | Family Medicine | 207 E 12th St, Emmett, ID 83617-3626 | 2005-08-02 |
| 1477169639 | Robin Wood Reed | Social Worker | 207 E 12th St, Emmett, ID 83617-3626 | 2020-09-22 |
| 1043724065 | Kelly Victoria Joelle Hathaway | Counselor | 207 E 12th St, Emmett, ID 83617-3626 | 2017-11-29 |
| 1295281541 | Megan Martinson | Physician Assistant | 207 E 12th St, Emmett, ID 83617-3626 | 2016-08-28 |
| 1386756849 | Angela Hoffman Radimer | Physician Assistant | 207 E 12th St, Emmett, ID 83617-3626 | 2006-08-31 |
| 1851326045 | James D. Mccolly | Physician Assistant | 207 E 12th St, Emmett, ID 83617-3626 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375659 | Jonathan Barrus Do PC | Family Medicine | 2020 S Johns Avenue, Emmett, ID 83617 | 2020-10-29 |
| 1679039135 | Hollis Family Pharmacy LLC | Pharmacy | 845 S Substation Rd, Emmett, ID 83617 | 2019-02-20 |
| 1699248054 | Lisa Southard | Social Worker | 825 S. Washington Avenue, Emmett, ID 83617 | 2019-01-09 |
| 1396069712 | Kelsey Peterson | Dentist | 1312 South Washington Street, Emmett, ID 83617 | 2010-03-15 |
| 1598907073 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 179 West Highway 52, Emmett, ID 83617 | 2009-03-31 |
| 1548401169 | Cynthia K. Rokey | Massage Therapist | 3777 S. Johns Ave, Emmett, ID 83617 | 2009-03-11 |
| 1407984966 | Jill Janay Sprague | Counselor | 113 N Commercial, Emmett, ID 83617 | 2007-02-28 |
| 1548320252 | Jo Anna Henson1 | Homemaker | 2020 Ua Ave Sp 14, Emmett, ID 83617 | 2006-12-11 |
| 1922193200 | Nancy Susanne Nickerson | Physical Therapist | 809 S Washington, Emmett, ID 83617 | 2006-10-04 |
| 1083707277 | Michael S Lee | Social Worker | 2007 S Plaza, Suite #1, Emmett, ID 83617 | 2006-10-02 |
| Find all providers in zip 83617 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.