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Organization

VALLEY FAMILY HEALTH CARE, INC

Active
Parent organization
VALLEY FAMILY HEALTH CARE, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
VALLEY FAMILY HEALTH CARE, INC
Authorized official
KENNETH ROBERT HART (CEO)
(208) 642-7364
Entity
Organization

Contact information

Practice address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598
Mailing address
1441 NE 10TH AVE, PAYETTE, ID 83661-5420
(208) 642-9376
(208) 642-9598

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
10/16/2017
Last updated
02/01/2024
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