NPI | 1295415032 |
---|---|
Doing Business As | VALLEY FAMILY HEALTH CARE WOMEN AND CHILDREN CLINIC |
Entity Type | Organization |
Authorized Contact | KENNETH ROBERT HART CEO 208-642-7364 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-07-18 |
Last Update Date | 2024-08-07 |