VALLEY HEALTHCARE SYSTEM INC NPI 1013951706

NPI Information

NPI: 1013951706
Provider Name: VALLEY HEALTHCARE SYSTEM INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D1044361

Address:
341 N WASHINGTON AVE
TALBOTTON, GA
ZIP 31827
Phone: (706) 665-2585
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VALLEY HEALTHCARE SYSTEM INC is a federally qualified health center (fqhc) clinic center in Talbotton, GA. VALLEY HEALTHCARE SYSTEM INC NPI is 1013951706. The provider is registered as an organization entity type.

The provider's business location address is:

341 N WASHINGTON AVE
TALBOTTON, GA
ZIP 31827
Phone: (706) 665-2585
Fax: (706) 665-2591

The provider's authorized official is Sarah E Lang .
The authorized official title is Ceo and has the following contact phone number (706) 322-9599.

The CLIA number assigned to this NPI record is 11D1044361 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/15/2006 and was last updated on 7/2/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000617196I	MEDICAID	GEORGIA
2	202G702049	OTHER	GEORGIA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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