| Valley Family Heatlh Care, Inc | |
|
1501 Ne 10th Ave Payette ID 83661-5422 | |
| (208) 642-9379 | |
| (208) 642-5004 |
| Full Name | Valley Family Heatlh Care, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1501 Ne 10th Ave, Payette, Idaho |
| Authorized Official Name and Position | Kenneth Robert Hart (CEO) |
| Authorized Official Contact | 2086427364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Family Heatlh Care, Inc 1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 643-9376 | Valley Family Heatlh Care, Inc 1501 Ne 10th Ave Payette ID 83661-5422 Ph: (208) 642-9379 |
| NPI Number | 1528089356 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528089356 | NPI | - | NPPES |
| 002549000 | Other | ID | HEALTHY CONNECTIONS |
| 002548900 | Medicaid | ID | |
| 022835 | Medicaid | OR | |
| FQHC | Other | ID | 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 |
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