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CITY OF VALDEZ NPI 1962525097


NPI Information

NPI: 1962525097
Provider Name: CITY OF VALDEZ

Doing Business As: PROVIDENCE VALDEZ COUNSELING CENTER

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
911 MEALS AVENUE
VALDEZ, AK
ZIP 99686
Phone: (907) 835-2838
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CITY OF VALDEZ is a mental health (including community mental health center) clinic center in Valdez, AK. CITY OF VALDEZ NPI is 1962525097. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Valdez Counseling Center.

The provider's business location address is:

911 MEALS AVENUE
VALDEZ, AK
ZIP 99686
Phone: (907) 835-2838
Fax: (907) 834-1890

The provider's authorized official is Jeremy O'neil .
The authorized official title is Administrator and has the following contact phone number (907) 835-2249.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/20/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)NOT NUMBEREDALASKAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MH2096MEDICAIDALASKA

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: 4/28/2024

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