NPIMap

Organization Active NPI

Valley Family Health Care, Inc

Doing business as Valley Family Health Care Women and Children Clinic

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
National Provider Identifier
1295415032
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY FAMILY HEALTH CARE, INC
Doing business as
Valley Family Health Care Women and Children Clinic
Practice address
840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638
Phone
(541) 889-2668
Fax
(208) 642-9598
NPI assigned
Jul 18, 2023
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY FAMILY HEATLH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Robert Hart
Title
Ceo
Phone
(208) 642-7364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

840 SW 4TH Ave Ste 105
Ontario, OR 97914-2638

Mailing address

1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376

Other names 1

  • Valley Family Health Care Women and Children Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040305000532 OR Part B Supplier - Clinic/Group Practice 0547169591 Receives reassigned benefits from 74 practitioners
8 other NPIs on this enrollment
Practice locations: Nyssa, OR; Ontario, OR; Vale, OR
O20190415001111 OR Part A Provider - Federally Qualified Health Center (FQHC) 0547169591 1 other NPI on this enrollment
Practice locations: Ontario, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295415032. Details of each certification follow.

Federally qualified health center certification: CCN 931006

Legal name
VALLEY FAMILY HEALTH CARE INC
Doing business as
VALLEY FAMILY HEALTH CARE WOMEN AND CHILDREN CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2019
Last certification
Mar 1, 2019
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Dec 28, 1981 in ID
Enrollment address
840 SW 4TH Ave
Ste 105
Ontario, OR 97914-2638

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D2226470Valley Family Health Care840 SW 4TH Ave, Unit 105, Ontario, OR 97914Provider-performed microscopyMay 31, 2027

National Provider Directory

National Provider Directory
Part of
Linda Niehaus MD

Locations

17 N 6th St
Nyssa, OR 97913
Phone (541) 372-2606

17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joan I Delgado Individual Corporate DirectorVice President Mar 1, 2019
Joanna Marie Strong Individual W-2 Managing EmployeePayor Enrollment and Billing Specia Mar 6, 2023
Carolina Gomez Individual Corporate DirectorBoard Member May 4, 2022
Kathy Oliver Individual Corporate DirectorBoard Member May 4, 2022
Mike Allen Kee Individual Corporate DirectorBoarrd of Directors Jan 30, 2026 100%
Launee Trask Individual Corporate OfficerRevenue Cycle Director Jul 7, 2025 100%
Carlos Hernandez Individual Corporate Director Jun 21, 1995
Rick Bruce Lahuis Individual Corporate DirectorBoard Member Treasurer Oct 28, 2021
Shawna Dee Pierson Individual Corporate DirectorBoard Member Secretary Feb 25, 2021
Cheri L Hung Individual Corporate OfficerCfo Jan 25, 2023
Carolyn Wesner Individual Corporate DirectorBoard President May 28, 2020
Mark Weldon Redmond Individual Corporate DirectorBoard of Directors Jul 26, 2023 100%
Daniel Ramirez Individual Corporate DirectorBoard Member Jan 27, 2022
Yamileth Gonzalez Perez Individual Corporate DirectorBoard of Directors Nov 20, 2024 100%
Kenneth Robert Hart Individual Corporate OfficerCeo Oct 30, 2022
Benjamin Murray Individual Corporate OfficerCoo Dec 3, 2018
Vicki L Crank Individual Corporate DirectorBoard Member Mar 24, 2022

Practitioners & affiliated clinicians

Practitioners 79

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 79

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1295415032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NE 10TH AVE",
            "city": "PAYETTE",
            "state": "ID",
            "postal_code": "836615420",
            "telephone_number": "208-642-9376",
            "fax_number": "208-642-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SW 4TH AVE STE 105",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142638",
            "telephone_number": "541-889-2668",
            "fax_number": "208-642-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY FAMILY HEATLH CARE, INC",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-642-7364"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family Health Care Women and Children Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Family Health Care Women and Children Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.