NPIMap

Organization Active NPI

Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Emmett, ID
National Provider Identifier
1932139995
Registry record updated Feb 1, 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
Practice address
207 E 12TH St
Emmett, ID 83617-3626
Phone
(208) 365-1065
Fax
(208) 365-1068
NPI assigned
Jul 4, 2006
Last updated
Feb 1, 2024By 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 Feb 1, 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 3

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

Addresses

Primary practice location

207 E 12TH St
Emmett, ID 83617-3626

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
002549000OtherIDHEALTHY CONNECTIONS
FQHCOtherIDCOMMUNITY HEALTH CENTER
002548800MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040108000205 ID Part B Supplier - Clinic/Group Practice 0547169591 Receives reassigned benefits from 61 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Payette, ID; New Plymouth, ID; Emmett, ID
O20081111000559 ID Part A Provider - Federally Qualified Health Center (FQHC) 0547169591 Practice locations: Emmett, ID

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932139995. Details of each certification follow.

Federally qualified health center certification: CCN 131813

Legal name
VALLEY FAMILY HEALTH CARE INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 1, 1993
Last certification
Aug 1, 1993
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1981 in ID
Enrollment address
207 E 12TH St
Emmett, ID 83617-3626

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 2

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

National Provider Directory

National Provider Directory
Tax ID family
Linda Niehaus MD15 organizations share this tax ID, including this one
Part of
Linda Niehaus MD

Other organizations with this tax ID 14

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

View all 14

Locations

2327 SW 4th Ave
Unit 3
Ontario, OR 97914
Phone (541) 889-2340

348 W Idaho Ave
Ontario, OR 97914
Phone (541) 889-2340

896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038

789 Washington St W
Vale, OR 97918
Phone (503) 473-2101

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 DirectorBoard of Director Vice President Apr 20, 1997
Joanna Marie Strong Individual W-2 Managing EmployeePayor Enrollment Specialist May 24, 2021
Carolina Gomez Individual Corporate DirectorBoard of Directors May 4, 2022
Kathy Oliver Individual Corporate DirectorBoard of Directors May 4, 2022
Mike Allen Kee Individual Corporate DirectorBoard of Directors Jan 30, 2026 100%
Launee Trask Individual Corporate OfficerRevenue Cycle Director Jul 7, 2025 100%
Carlos Hernandez Individual Corporate DirectorBoard of Director Jun 21, 1995
Rick Bruce Lahuis Individual Corporate DirectorBoard Member Treasurer Oct 28, 2021
Shawna Dee Pierson Individual Corporate OfficerBoard of Directors Secretary Feb 25, 2021
Cheri L Hung Individual Corporate OfficerCfo Jan 25, 2023
Carolyn Wesner Individual Corporate DirectorBoard of Directors President May 28, 2020
Mark Weldon Redmond Individual Corporate OfficerBoard of Directors Jul 26, 2023 100%
Daniel Ramirez Individual Corporate DirectorBoard of Directors Jan 27, 2022
Yamileth Gonzalez Perez Individual Corporate OfficerBoard of Directors Nov 20, 2024 100%
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 of Director Mar 24, 2022

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 95

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 95

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1932139995",
    "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": "207 E 12TH ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173626",
            "telephone_number": "208-365-1065",
            "fax_number": "208-365-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY FAMILY HEALTH CARE, INC",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "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
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CONNECTIONS",
            "identifier": "002549000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH CENTER",
            "identifier": "FQHC",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002548800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.