| Valle Vista Health System | |
|
898 E Main St Greenwood IN 46143-1407 | |
| (317) 887-1348 | |
| (317) 885-9063 |
| Full Name | Valle Vista Health System |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 898 E Main St, Greenwood, Indiana |
| Authorized Official Name and Position | Glenn David Bell (CEO) |
| Authorized Official Contact | 3178871348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valle Vista Health System 898 E Main St Greenwood IN 46143-1407 Ph: (317) 887-1348 | Valle Vista Health System 898 E Main St Greenwood IN 46143-1407 Ph: (317) 887-1348 |
| NPI Number | 1336300359 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336300359 | NPI | - | NPPES |
| 200139010A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3071PIP (Indiana) | Primary |
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