VALLEY FAMILY HEALTH CARE (NPI# 1134657364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134657364 |
| Entity Type | Organization |
| Organization Name | VALLEY FAMILY HEALTH CARE |
| Practice Address |
1501 Ne 10th Ave Payette ID 83661-5420 |
| Mailing Address |
1441 Ne 10th Ave Payette ID 83661-5420 |
| Practice Telephone | 2086429379 |
| Mailing Telephone | 2086429376 |
| Enumeration Date | 2017-06-01 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VALLEY FAMILY HEALTH CARE | 1441 Ne 10th Ave, Payette, ID 83661-5420 |
| Oregon Corporations, Companies and Business Names | VALLEY FAMILY HEALTH CARE, INC. | 1441 Ne 10th Ave, Payette, ID 83661 |
| Street Address |
1501 NE 10TH AVE |
| City | PAYETTE |
| State | ID |
| Zip Code | 83661-5420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528089356 | Valley Family Heatlh Care, Inc | Dentist | 1501 Ne 10th Ave, Payette, ID 83661-5422 | 2006-07-21 |
| 1083255574 | Jared Mayer | Dentist | 1501 Ne 10th Ave, Payette, ID 83661-5422 | 2019-10-05 |
| 1134685407 | Lindsey Lee Taylor | Dental Hygienist | 1501 Ne 10th Ave, Payette, ID 83661-5422 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811279268 | Victoria L Wallace | Pharmacist | 405 S 8th Street, Payette, ID 83661 | 2011-09-12 |
| 1619056694 | James H Moore | Dentist | 925 2nd Ave No, Payette, ID 83661 | 2006-11-02 |
| 1831279538 | Justin Craig Smith | Dentist | 1105 3rd Ave North, Payette, ID 83661 | 2006-10-17 |
| 1710021506 | Dental Health Care With Heart | Dentist | 823 Center Ave, Payette, ID 83661 | 2007-02-16 |
| 1295781110 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 405 S Main St, Payette, ID 83661 | 2006-05-25 |
| 1225270523 | Norma Jean Hershey | Counselor | 695 2nd Ave S, North Entrance, Payette, ID 83661-0694 | 2009-04-01 |
| 1558498097 | Idahodhwbh Payettamhclinic | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| 1689984254 | Idaho Dept of Health & Welfare | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2010-10-18 |
| 1154459444 | Idahodhwbh3 Payette Cmh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-03-01 |
| 1568590073 | Idahodhwbh3 Payette Amh Psr | Clinic/Center | 515 16th Ave N, Payette, ID 83661-2047 | 2007-02-28 |
| Find all providers in zip 83661 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1972082675 | Community Health Clinics, Inc. | Clinic/Center | 1670 N Linder Rd, Kuna, ID 83634-3032 | 2018-08-13 |
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| 1225517055 | Community Health Clinics, Inc. | Clinic/Center | 4085 E Greenhurst Rd, Nampa, ID 83686-8657 | 2018-08-13 |
| 1982183687 | Community Health Clinics, Inc. | Clinic/Center | 301 S Happy Valley Rd, Nampa, ID 83687-8828 | 2018-08-13 |
| 1396249546 | Community Health Clinic Inc. | Clinic/Center | 521 Carrie Rex, Melba, ID 83641 | 2018-03-22 |
| 1912401381 | Community Health Clinic Inc. | Clinic/Center | 700 N Star Rd, Star, ID 83669-5417 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
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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.