| Valley Family Health Care, Inc | |
|
17 N 6th St Nyssa OR 97913-3477 | |
| (541) 372-2606 | |
| (541) 372-3855 |
| Full Name | Valley Family Health Care, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 17 N 6th St, Nyssa, Oregon |
| Authorized Official Name and Position | Jennifer Rodriguez (PAYER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 2086429376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Family Health Care, Inc 17 N 6th St Nyssa OR 97913-3477 Ph: (541) 372-2606 | Valley Family Health Care, Inc 17 N 6th St Nyssa OR 97913-3477 Ph: (541) 372-2606 |
| NPI Number | 1588699524 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 07/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588699524 | NPI | - | NPPES |
| 022827 | Medicaid | OR | |
| 002548600 | Medicaid | ID | |
| FQHC | Other | OR | COMMUNITY HEALTH CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |