WEST VALLEY CLINIC LLC NPI 1003186248

NPI Information

  • NPI: 1003186248
  • Provider Name: WEST VALLEY CLINIC, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 6898 DONIPHAN DRIVE
    CANUTILLO, TX
    ZIP 79835
  • Phone: (915) 877-3151

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NPI Details

WEST VALLEY CLINIC, LLC is a clinic center in Canutillo, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WEST VALLEY CLINIC, LLC NPI is 1003186248. The provider is registered as an organization entity type.

The provider's business location address is:

6898 DONIPHAN DRIVE
CANUTILLO, TX
ZIP 79835-076
Phone: (915) 877-3151
Fax: (915) 877-5346

The provider's authorized official is Sam T Tyson .
The authorized official title is Coo/manager and has the following contact phone number (915) 877-3151.

The enumeration date for this NPI number is 1/5/2012 and was last updated on 9/10/2020.

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
1261Q00000XClinic/CenterH2185TEXASYes

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
1138392907MEDICAIDTEXAS

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: 11/21/2025

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