WEST VALLEY CLINIC, LLC (NPI# 1003186248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003186248 |
| Entity Type | Organization |
| Organization Name | WEST VALLEY CLINIC, LLC |
| Practice Address |
6898 Doniphan Drive Canutillo TX 79835-2076 |
| Mailing Address |
6898 Doniphan Drive P.o Box 2076 Canutillo TX 79835-2076 |
| Practice Telephone | 9158773151 |
| Practice Fax Number | 9158775346 |
| Mailing Telephone | 9158773151 |
| Mailing Fax Number | 9158775346 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | SAM T TYSON (COO/MANAGER) |
| Authorized Official Telephone | 9158773151 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | H2185 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 138392907 | 05 |
| Street Address |
6898 DONIPHAN DRIVE |
| City | CANUTILLO |
| State | TX |
| Zip Code | 79835-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676723 | Araceli Daniela Locatelli | Behavior Technician | 6969 Fourth St., Canutillo, TX 79835 | 2019-05-29 |
| 1205208501 | Lorena Trevizo | Student in an Organized Health Care Education/Training Program | 6845 Doniphan, Canutillo, TX 79835 | 2015-10-26 |
| 1073993184 | Project Vida Health Center | Clinic/Center | 7000 E. 5th Street, Canutillo, TX 79835 | 2015-06-03 |
| 1487062212 | Maricela Hernandez | Dentist | 1713 Banker Road, Canutillo, TX 79835 | 2014-07-24 |
| 1861701484 | Northwest Community Health Center | Family Medicine | 7065 Second St, Canutillo, TX 79835 | 2010-09-30 |
| 1972837250 | Gabriela Villaneda | Speech-Language Pathologist | 1117 Tiffany Rd, 1117 Tiffany, Canutillo, TX 79835 | 2009-09-19 |
| 1932353257 | Chetan Shivaram Dds P.c | Dentist | 6821 Doniphan Dr, Canutillo, TX 79835 | 2008-11-13 |
| 1053430736 | Lauro Joseph Bustamante | Counselor | 6621 Doniphan, Canutillo, TX 79835 | 2007-03-27 |
| 1265566541 | Centro De Salud Familiar La Fe, Inc. | Clinic/Center | 1713 Banker Rd., El Paso, TX 79835 | 2007-03-16 |
| 1508957549 | Arthur Lee Daniel Jr. | Pharmacy | 6898 Doniphan, Canutillo, TX 79835 | 2006-09-27 |
| Find all providers in zip 79835 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558826 | Mercy Clinic | Clinic/Center | 951 Tristar Dr, Webster, TX 77598-1536 | 2020-11-03 |
| 1477150688 | Sun Houston, LLC | Clinic/Center | 7505 Fannin St Ste 430, Houston, TX 77054-1944 | 2020-10-01 |
| 1295341147 | Mo City Apothecary LLC | Clinic/Center | 3708 Texas Pkwy Ste F, Missouri City, TX 77489-6173 | 2020-09-16 |
| 1114531167 | Action Potential - Sports and Neurological Rehab, Pllc | Clinic/Center | 3816 S Lamar Blvd Apt 2712, Austin, TX 78704-7955 | 2020-09-06 |
| 1609480755 | Galloway Clinic Pllc | Clinic/Center | 1336 N Galloway Ave Ste 124a, Mesquite, TX 75149-2490 | 2020-09-06 |
| 1508470170 | Honestar Wound Care Pllc | Clinic/Center | 7908 Modena Dr, Fort Worth, TX 76126-6144 | 2020-09-01 |
| 1093328981 | Caspian Medical Services | Clinic/Center | 10710 Kuykendahl Rd Ste 150, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1992318885 | Integra Assessments | Clinic/Center | 10710 Kuykendahl Rd Ste 175, The Woodlands, TX 77381-2695 | 2020-08-28 |
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1538779145 | Family Choice Clinic, Inc. | Clinic/Center | 12808 W Airport Blvd Ste 260f, Sugar Land, TX 77478-6238 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.