Organization
VALLEY FAMILY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
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
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002548900
—
ID
01
—
002549000
HEALTHY CONNECTIONS
ID
05
—
022835
—
OR
01
—
FQHC
COMMUNITY HEALTH CENTER
ID
Enumeration date
07/04/2006
Last updated
02/01/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us