Provider Demographics
NPI:1366972879
Name:VALEO BEHAVIORAL HEALTH CARE INC
Entity type:Organization
Organization Name:VALEO BEHAVIORAL HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:DUANE
Authorized Official - Last Name:PERSINGER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:785-228-3071
Mailing Address - Street 1:5401 SW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2330
Mailing Address - Country:US
Mailing Address - Phone:785-273-2252
Mailing Address - Fax:785-273-2736
Practice Address - Street 1:330 SW OAKLEY AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1995
Practice Address - Country:US
Practice Address - Phone:785-233-1730
Practice Address - Fax:785-783-7588
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALEO BEHAVIORAL HEALTH CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-16
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098140AMedicaid