Healthcare Provider Details
I. General information
NPI: 1497581359
Provider Name (Legal Business Name): VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2024
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1627 CHEW ST FL 3
ALLENTOWN PA
18102-3648
US
IV. Provider business mailing address
PO BOX 4311
ALLENTOWN PA
18105-4311
US
V. Phone/Fax
- Phone: 610-402-1155
- Fax: 610-969-2786
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QF0400X |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PHILIP
DOMAN
Title or Position: CFO
Credential:
Phone: 610-764-8326