| Valley Professionals Community Health Center Inc | |
|
601 W National Ave West Terre Haute IN 47885-1303 | |
| (812) 244-1515 | |
| (812) 244-1519 |
| Full Name | Valley Professionals Community Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 601 W National Ave, West Terre Haute, Indiana |
| Authorized Official Name and Position | Terry J Warren (CEO) |
| Authorized Official Contact | 7658281003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Professionals Community Health Center Inc 777 S Main St Ste 100 Clinton IN 47842-2493 Ph: (765) 828-1003 | Valley Professionals Community Health Center Inc 601 W National Ave West Terre Haute IN 47885-1303 Ph: (812) 244-1515 |
| NPI Number | 1902567977 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Medicare PECOS PAC ID | 7618067265 |
|---|---|
| Medicare Enrollment ID | O20220517001460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902567977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Union Hosptial Family Medicine West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 W National Ave, West Terre Haute, IN 47885 Phone: 812-238-7795 Fax: 812-238-7796 |