Provider Demographics
NPI:1306989983
Name:VALLEY MEDICAL FACILITIES, INC.
Entity type:Organization
Organization Name:VALLEY MEDICAL FACILITIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MITRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-773-4776
Mailing Address - Street 1:FAMILY PRACTICE CENTER
Mailing Address - Street 2:1125 7TH AVENUE
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4613
Mailing Address - Country:US
Mailing Address - Phone:724-843-6000
Mailing Address - Fax:
Practice Address - Street 1:FAMILY PRACTICE CENTER
Practice Address - Street 2:1125 7TH AVENUE
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4613
Practice Address - Country:US
Practice Address - Phone:724-843-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY MEDICAL FACILITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-14
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA135701282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA510406OtherMEDICARE GROUP NUMBER
PA1000033550167Medicaid
PA014OtherHIGHMARK BLUE CROSS
PA1000033550167Medicaid