| Valley Family Health Care Inc | |
|
1441 Ne 10th Ave Payette ID 83661-5420 | |
| (208) 642-9376 | |
| (208) 642-9598 |
| Full Name | Valley Family Health Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1441 Ne 10th Ave, Payette, Idaho |
| Authorized Official Name and Position | Kenneth Robert Hart (CEO) |
| Authorized Official Contact | 2086427364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Family Health Care Inc 1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 642-9376 | Valley Family Health Care Inc 1441 Ne 10th Ave Payette ID 83661-5420 Ph: (208) 642-9376 |
| NPI Number | 1407886484 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 02/01/2024 |
| Medicare PECOS PAC ID | 0547169591 |
|---|---|
| Medicare Enrollment ID | O20040108000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407886484 | NPI | - | NPPES |
| 002549000 | Other | ID | HEALTHY CONNECTIONS |
| 022835 | Medicaid | OR | |
| FQHC | Other | ID | COMMUNITY HEALTH CENTER |
| 002548900 | Medicaid | ID |
| Provider Name | San Juanita Aguilar |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881930378 PECOS PAC ID: 7618955543 Enrollment ID: I20040708000740 |
| Provider Name | Shannon D Schantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215907704 PECOS PAC ID: 2163472408 Enrollment ID: I20050125000726 |
| Provider Name | Robert A Mairs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124001862 PECOS PAC ID: 1254303407 Enrollment ID: I20050404000789 |
| Provider Name | Bryon D Hemphill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598707226 PECOS PAC ID: 9537171491 Enrollment ID: I20060620000071 |
| Provider Name | Kirk D Prodzinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245206648 PECOS PAC ID: 4183642531 Enrollment ID: I20110620000543 |
| Provider Name | Annmarie Louisa Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235520842 PECOS PAC ID: 9537478607 Enrollment ID: I20151013000862 |
| Provider Name | Heather M Bergstrom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942626171 PECOS PAC ID: 7517180326 Enrollment ID: I20171113002570 |
| Provider Name | Lindsay Reay Grosvenor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982029641 PECOS PAC ID: 1355609660 Enrollment ID: I20171214001160 |
| Provider Name | Daisy L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396159125 PECOS PAC ID: 1658597984 Enrollment ID: I20180123002640 |
| Provider Name | Michael J Twomey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073924239 PECOS PAC ID: 6608192562 Enrollment ID: I20180201002682 |
| Provider Name | Johary Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954398 PECOS PAC ID: 4486921459 Enrollment ID: I20180202001189 |
| Provider Name | Leslie Marie Filler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316424666 PECOS PAC ID: 0648521716 Enrollment ID: I20180928002039 |
| Provider Name | Mark Allen Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023471000 PECOS PAC ID: 3971800103 Enrollment ID: I20181226002451 |
| Provider Name | Andrew J Silsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447713649 PECOS PAC ID: 3274866678 Enrollment ID: I20190617001807 |
| Provider Name | Renee Zubin Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508506 PECOS PAC ID: 6406289289 Enrollment ID: I20191220002311 |
| Provider Name | Jeanette Hazel Marie Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418722 PECOS PAC ID: 8022443381 Enrollment ID: I20200122002258 |
| Provider Name | Marie Esplin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033755079 PECOS PAC ID: 4284061839 Enrollment ID: I20200221000197 |
| Provider Name | Amber Mechelle Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316558620 PECOS PAC ID: 4688094626 Enrollment ID: I20201013003357 |
| Provider Name | Andrew Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588036396 PECOS PAC ID: 0143640011 Enrollment ID: I20201014001560 |
| Provider Name | Rina Wilkes Giudicelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720683402 PECOS PAC ID: 4880008150 Enrollment ID: I20210127002382 |
| Provider Name | Michael Joe Ray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710011697 PECOS PAC ID: 9335556166 Enrollment ID: I20210326002002 |
| Provider Name | Taylor Christine Duplex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285307074 PECOS PAC ID: 5294132627 Enrollment ID: I20210927003214 |
| Provider Name | Angela M Saitta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578010427 PECOS PAC ID: 1850783291 Enrollment ID: I20220117000722 |
| Provider Name | Spiah Charias Perza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952856726 PECOS PAC ID: 8123413663 Enrollment ID: I20220318000763 |
| Provider Name | Kenneth Leif Nathaniel Sjoren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093208134 PECOS PAC ID: 2466832795 Enrollment ID: I20220705002056 |
| Provider Name | Kaitana Martinez Dahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255080321 PECOS PAC ID: 5496137218 Enrollment ID: I20220726003376 |
| Provider Name | Jennifer Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477258341 PECOS PAC ID: 6305203365 Enrollment ID: I20230606003033 |
| Provider Name | Judith Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518968320 PECOS PAC ID: 7214070291 Enrollment ID: I20240127000278 |
| Provider Name | Jared Van Orman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023500808 PECOS PAC ID: 5294131900 Enrollment ID: I20240227004204 |
| Provider Name | Camryn Conrad-renteria |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801174875 PECOS PAC ID: 4587017496 Enrollment ID: I20240501003997 |
| Provider Name | Tammie Jean Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467007872 PECOS PAC ID: 0345689964 Enrollment ID: I20240514000759 |
Healthcare With Heart Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 823 Center Ave, Payette, ID 83661 Phone: 208-642-3396 Fax: 208-642-9060 | |
Payette Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 S 16th St, Payette, ID 83661 Phone: 208-642-6160 Fax: 208-642-6171 | |
Valley Family Health Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Ne 10th Ave, Payette, ID 83661 Phone: 208-642-9376 Fax: 208-642-9598 | |
Family Services, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N 16th St Ste 108, Payette, ID 83661 Phone: 208-642-6160 Fax: 208-642-6171 |