Healthcare Provider Details

I. General information

NPI: 1275607566
Provider Name (Legal Business Name): VALLEY HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 W GERMAN STREET
HERKIMER NY
13350-2135
US

IV. Provider business mailing address

690 W GERMAN STREET
HERKIMER NY
13350-2135
US

V. Phone/Fax

Practice location:
  • Phone: 315-866-3330
  • Fax: 315-866-6546
Mailing address:
  • Phone: 315-866-3330
  • Fax: 315-866-6546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2124301N
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00823643
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name: MS. LISA M BETRUS
Title or Position: CEO ADMINISTRATOR
Credential: ADMINISTRATOR
Phone: 315-866-3330