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1972312973 NPI number — VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC

NPI Number: 1972312973
Health Care Provider/Practitioner: VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC

Information about “1972312973” NPI (VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC) exists in 1972312973 in HTML format HTML  |  1972312973 in plain Text format TXT  |  1972312973 in PDF (Portable Document Format) PDF  |  1972312973 in an XML format XML  formats.

NPI Number : 1972312973 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1972312973",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "777 S MAIN ST STE 100",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47842-2493",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-828-1003",
    "MailingAddressFaxNumber": "765-828-1030",
    "FirstLinePracticeLocationAddress": "1792 E STATE ROAD 163",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47842-7327",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-828-3241",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/03/2025",
    "LastUpdateDate": "01/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WARREN",
    "AuthorizedOfficialFirstName": "TERRY",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "PRESIDENT/CEO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "765-828-1003",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QF0400X",
        "TaxonomyName": "Federally Qualified Health Center (FQHC)",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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