VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. (NPI# 1417284043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417284043 |
| Entity Type | Organization |
| Organization Name | VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
703 W Park St Cayuga IN 47928-8207 |
| Mailing Address |
Po Box 344 Clinton IN 47842-0344 |
| Practice Telephone | 7654929042 |
| Practice Fax Number | 7654929048 |
| Mailing Telephone | 7654929042 |
| Mailing Fax Number | 7654929048 |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | TERRY WARREN (CEO) |
| Authorized Official Telephone | 7654929042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200884580B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427306778 | Valley Professionals Community Health Center, Inc. | Clinic/Center | 201 W Academy St, Bloomingdale, IN 47832-8095 | 2012-08-16 |
| 1104006253 | Valley Professionals Community Health Center, Inc. | Clinic/Center | 777 S Main St, Suite 100, Clinton, IN 47842-2493 | 2007-11-06 |
| Street Address |
703 W PARK ST |
| City | CAYUGA |
| State | IN |
| Zip Code | 47928-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382402 | Zakary Bushue | Social Worker | 703 W Park St, Cayuga, IN 47928-8207 | 2020-03-27 |
| 1245878529 | Jr Pharmacy LLC No 5 | Pharmacy | 703 W Park St, Cayuga, IN 47928-8207 | 2019-12-17 |
| 1487206306 | Andrea Lynn Davenport | Nurse Practitioner | 703 W Park St, Cayuga, IN 47928-8207 | 2019-07-11 |
| 1477049989 | Jamie Renee Tidwell | Dental Hygienist | 703 W Park St, Cayuga, IN 47928-8207 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823168 | Illiana Ems, Inc. | Ambulance | 216 N Eugene Ave, Cayuga, IN 47928 | 2020-02-14 |
| 1033563846 | Jordan West | Specialist/Technologist | 205 South Logan Street, Cayuga, IN 47928 | 2016-04-18 |
| 1346390309 | Parke Clinic, PC | Family Medicine | 101 Grant St, Cayuga, IN 47928 | 2007-01-11 |
| 1104871664 | Union Hospital Inc | Family Medicine | 114 N Division Street, Cayuga, IN 47928 | 2006-05-23 |
| 1366774960 | Harrell's Home Healthcare, LLC | Home Health | 133 W Jackson St, Cayuga, IN 47928-8022 | 2010-02-05 |
| 1184019887 | Casey West | Specialist/Technologist | 3792 N 75 W, Cayuga, IN 47928-8114 | 2015-03-31 |
| 1477665537 | North Vermillion Comm. School Corporation | Local Education Agency (LEA) | 5551 N Falcon Dr, Cayuga, IN 47928-8181 | 2006-08-31 |
| 1821032111 | Maureen A Socha | General Practice | 101 N Grant St, Cayuga, IN 47928-8208 | 2006-06-16 |
| 1639325137 | Erik P Southard | Nurse Practitioner | 114 N Division St, Cayuga, IN 47928-8230 | 2008-08-15 |
| 1790941086 | Laurie Joy Blanco Valera | Family Medicine | 114 N. Division, Cayuga, IN 47928-8230 | 2008-08-06 |
| Find all providers in zip 47928 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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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.