Valley Health | |
8163 W State Road 56 Ste A West Baden Springs IN 47469-7706 | |
(812) 936-2425 | |
(812) 936-2599 |
Full Name | Valley Health |
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Speciality | Clinic/Center |
Location | 8163 W State Road 56 Ste A, West Baden Springs, Indiana |
Authorized Official Name and Position | Nancy Radcliff (CEO) |
Authorized Official Contact | 8127237118 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Health Po Box 270 Paoli IN 47454-0270 Ph: (812) 723-7118 | Valley Health 8163 W State Road 56 Ste A West Baden Springs IN 47469-7706 Ph: (812) 936-2425 |
NPI Number | 1841706868 |
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Provider Enumeration Date | 12/28/2017 |
Last Update Date | 02/03/2023 |
Medicare PECOS PAC ID | 5799694360 |
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Medicare Enrollment ID | O20180216001500 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841706868 | NPI | - | NPPES |
201168330A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Indiana) | Primary |