Healthcare Provider Details

I. General information

NPI: 1265337489
Provider Name (Legal Business Name): VALLEY FAMILY HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 E 12TH ST
EMMETT ID
83617-3626
US

IV. Provider business mailing address

1441 NE 10TH AVE
PAYETTE ID
83661-5420
US

V. Phone/Fax

Practice location:
  • Phone: 208-365-1066
  • Fax: 208-365-1067
Mailing address:
  • Phone: 208-642-9377
  • Fax: 208-642-9378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHERI HUNG
Title or Position: CFO
Credential:
Phone: 208-642-7364