VALLEY FAMILY HEALTH CARE INC NPI 1407886484

NPI Information

NPI: 1407886484
Provider Name: VALLEY FAMILY HEALTH CARE INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1441 NE 10TH AVE
PAYETTE, ID
ZIP 83661
Phone: (208) 642-9376
Get Directions

VALLEY FAMILY HEALTH CARE INC is a federally qualified health center (fqhc) clinic center in Payette, ID. VALLEY FAMILY HEALTH CARE INC NPI is 1407886484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1441 NE 10TH AVE
PAYETTE, ID
ZIP 83661-420
Phone: (208) 642-9376
Fax: (208) 642-9598

The provider's authorized official is Jennifer Rodriguez .
The authorized official title is Payer Enrollment Specialist and has the following contact phone number (208) 642-9376.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 6/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QM1300X	Clinic/Center	Multi-Specialty	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002549000	OTHER	IDAHO	HEALTHY CONNECTIONS
2	FQHC	OTHER	IDAHO	COMMUNITY HEALTH CENTER
3	002548900	MEDICAID	IDAHO
4	022835	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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