1235164633 NPI number — VALLEY HOPE ASSOCIATION

Table of content: (NPI 1235164633)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235164633 NPI number — VALLEY HOPE ASSOCIATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY HOPE ASSOCIATION
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:
6
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:
1235164633
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/19/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 510
Provider Second Line Business Mailing Address:
103 S WABASH AVE
Provider Business Mailing Address City Name:
NORTON
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67654-0510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-877-5111
Provider Business Mailing Address Fax Number:
785-877-2322

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7108 S ALTON WAY
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
CENTENNIAL
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-2108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-694-3829
Provider Business Practice Location Address Fax Number:
803-694-3846
Provider Enumeration Date:
07/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ERBERT
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF CONTRACT ADMINISTRATION
Authorized Official Telephone Number:
785-877-5111

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , with the licence number:  1414-01 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 461414 . This is a "VALUE OPTIONS PROVIDER #" identifier . This identifiers is of the category "OTHER".




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