NPIMap

Organization Active NPI

Valley Family Health Care, Inc

Doing business as Valley Family Health Care

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
National Provider Identifier
1912620923
Registry record updated Sep 23, 2022
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
Practice address
896 Fortner St
Ontario, OR 97914-1787
Phone
(541) 889-2340
NPI assigned
Sep 23, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY FAMILY HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Jennifer Rodriguez
Title
Payer Enrollment Specialist
Phone
(208) 642-9376

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Multi-Specialty Clinic/Center 261QM1300X NU

Addresses

Primary practice location

896 Fortner St
Ontario, OR 97914-1787

Mailing address

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

Other names 1

  • Valley Family Health Care 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
This NPI is an additional NPI on the enrollment
Practice locations: Nyssa, OR; Ontario, OR; Vale, OR
O20231004002218 OR Part A Provider - Federally Qualified Health Center (FQHC) 0547169591 Practice locations: Ontario, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912620923. Details of each certification follow.

Federally qualified health center certification: CCN 381019

Legal name
VALLEY FAMILY HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2023
Last certification
Sep 21, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 18, 1988 in ID
Enrollment address
896 Fortner St
Ontario, OR 97914-1787

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
38D2281789Valley Family Health Care896 Fortner St, Ontario, OR 97914Provider-performed microscopyMay 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Linda Niehaus MD12 organizations share this tax ID, including this one
Part of
Linda Niehaus MD

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

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 Director Apr 20, 1997
Joanna Marie Strong Individual W-2 Managing Employee May 24, 2021
Carolina Gomez Individual Corporate Director May 4, 2022
Kathy Oliver Individual Corporate Director May 4, 2022
Mike Allen Kee Individual Corporate OfficerBoard Member Jan 1, 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 Director Oct 28, 2021
Shawna Dee Pierson Individual Corporate Director Feb 25, 2021
Cheri L Hung Individual Corporate Officer Nov 9, 2021
Carolyn Wesner Individual Corporate Director May 28, 2020
Mark Weldon Redmond Individual Corporate OfficerBoard of Directors Jul 26, 2023 100%
Daniel Ramirez Individual Corporate Director Jan 27, 2022
Yamileth Gonzalez Perez Individual Corporate OfficerBoard of Directors Nov 20, 2024
Kenneth Robert Hart Individual Corporate Officer Dec 29, 2022
Benjamin Murray Individual Corporate Officer Dec 3, 2018
W-2 Managing Employee Dec 3, 2018
Vicki L Crank Individual Corporate Director Mar 24, 2022

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1912620923",
    "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": "896 FORTNER ST",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979141787",
            "telephone_number": "541-889-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY FAMILY HEALTH CARE, INC",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PAYER ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "208-642-9376"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Family Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ontario, OR

Sources for this page

Verify at the official NPI Registry.