Organization
VALLEY FAMILY HEALTH CARE, INC
Active
Parent organization
VALLEY FAMILY HEALTH CARE, INC
Other names
Valley Family Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY FAMILY HEALTH CARE, INC
Authorized official
JENNIFER RODRIGUEZ (PAYER ENROLLMENT SPECIALIST)
(208) 642-9376
Entity
Organization
Contact information
Practice address
896 FORTNER ST, ONTARIO, OR 97914-1787
(541) 889-2340
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
Enumeration date
09/23/2022
Last updated
09/23/2022
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