1497927677 NPI number — VALLEY PACKAGING INDUSTRIES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497927677 NPI number — VALLEY PACKAGING INDUSTRIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY PACKAGING INDUSTRIES, 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:
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:
1497927677
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2350 N CASALOMA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APPLETON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54913-8215
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
920-997-1484
Provider Business Mailing Address Fax Number:
920-997-1488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2350 N CASALOMA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APPLETON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54913-8215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-997-1484
Provider Business Practice Location Address Fax Number:
920-997-1488
Provider Enumeration Date:
03/28/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HEIN
Authorized Official First Name:
WENDY
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PROGRAM DIRECTOR
Authorized Official Telephone Number:
920-740-9536

Provider Taxonomy Codes

  • Taxonomy code: 252Y00000X , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 42772400 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100082083 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 41217600 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 42788200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40253100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100223415 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100172668 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40384200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100079476 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100230469 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100236850 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40233600 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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