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General NPI Number Information
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NPI Number | 1194011296
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Entity Type | Organization
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Legal Business Name | VALLEY MEDICAL FACILITIES, INC.
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 1125 7TH AVENUE FAMILY PRACTICE CENTER
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City | BEAVER FALLS
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State | PA
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Zip | 15010-4426
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Country | US
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Telephone | 724-773-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 7TH AVENUE FAMILY MEDICINE CLINIC
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City | BEAVER FALLS
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State | PA
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Zip | 15010-4426
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Country | US
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Telephone | 724-773-8970
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/CFO
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Name | MR. BRYAN J. RANDALL
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Credential |
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Telephone | 412-749-7027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 135701
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License Number State | PA
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