1598765182 NPI number — VALLEY RADIOLOGISTS INC

Table of content: (NPI 1598765182)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598765182 NPI number — VALLEY RADIOLOGISTS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY RADIOLOGISTS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598765182
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/18/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6825
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHEELING
Provider Business Mailing Address State Name:
WV
Provider Business Mailing Address Postal Code:
26003-0663
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-684-1493
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 EOFF ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHEELING
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
26003-3823
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-234-0123
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/26/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PATRIZI
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
304-234-0123

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2542565 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542056 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542556 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0007059000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542538 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000023696 . This is a "BC/BS PIN NUMBER" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2542547 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542583 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542592 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542529 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2542574 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".