VALLEY HEALTHCARE SYSTEM INC (NPI# 1952599623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952599623 |
| Entity Type | Organization |
| Organization Name | VALLEY HEALTHCARE SYSTEM INC |
| Practice Address |
94 Mccrary Road Fortson GA 31808 |
| Mailing Address |
1600 Fort Benning Rd Columbus GA 31903-2834 |
| Practice Telephone | 7069878216 |
| Practice Fax Number | 7069878220 |
| Mailing Telephone | 7063229599 |
| Mailing Fax Number | 7063229567 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2018-07-02 |
| Authorized Official Name | MS. SARAH E LANG (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7063229599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000617196K | 05 | |
| GA | MEDICARE PTAN | 202G702049 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013951706 | Valley Healthcare System Inc | Clinic/Center | 341 N Washington Ave, Talbotton, GA 31827 | 2006-06-15 |
| 1609814219 | Valley Healthcare System Inc | Pharmacy | 1600 Fort Benning Road, Columbus, GA 31903-2407 | 2006-06-04 |
| Street Address |
94 MCCRARY ROAD |
| City | FORTSON |
| State | GA |
| Zip Code | 31808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780015610 | Robert G. Wallace | Radiology | 1130 Goat Rock Road, Fortson, GA 31808 | 2013-12-03 |
| 1649885609 | Amber Love | Counselor | 10208 Whitesville Rd, Fortson, GA 31808-2623 | 2020-09-15 |
| 1104356443 | Laurie Wylie | Psychologist | 107 Twin Oaks Ct, Fortson, GA 31808-4479 | 2017-06-19 |
| 1477576635 | Richard E Wood Jr. | Family Medicine | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2006-07-26 |
| 1063725745 | Shaunta' Shawan King | Dentist | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2010-07-22 |
| 1093883878 | Lavon Thurman | Family Medicine | 94 Mccrary Rd, Fortson, GA 31808-4558 | 2006-12-01 |
| 1780174698 | William Henry Singleton | Physical Therapy Assistant | 398 Sputnik St, Fortson, GA 31808-5120 | 2018-05-16 |
| 1205448032 | Leona Ramsey Dorsey | Case Manager/Care Coordinator | 19 Shearwater Dr, Fortson, GA 31808-5316 | 2020-08-22 |
| 1497749626 | Judy R Barnett | Nurse Anesthetist, Certified Registered | 172 Almond Ridge Dr, Fortson, GA 31808-6823 | 2005-09-02 |
| 1487296034 | Archie Person IIi | Nurse Practitioner | 7933 Ivy Park Dr, Fortson, GA 31808-6870 | 2019-10-16 |
| Find all providers in zip 31808 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 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.