VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC. NPI 1104006253

NPI Information

NPI: 1104006253
Provider Name: VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
777 S MAIN ST
SUITE 100
CLINTON, IN
ZIP 47842
Phone: (765) 828-1003
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VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Clinton, IN. VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. NPI is 1104006253. The provider is registered as an organization entity type.

The provider's business location address is:

777 S MAIN ST
SUITE 100
CLINTON, IN
ZIP 47842-493
Phone: (765) 828-1003
Fax: (765) 828-1030

The provider's authorized official is Terry J. Warren .
The authorized official title is Ceo and has the following contact phone number (812) 828-1003.

The enumeration date for this NPI number is 11/6/2007 and was last updated on 2/19/2015.

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
1	254390	MEDICARE PIN	INDIANA
2	200884580A	MEDICAID	INDIANA
3	15-1849	MEDICARE PIN	INDIANA

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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