Provider Demographics
NPI:1134130289
Name:VALLEY MEDICAL FACILITIES, INC.
Entity Type:Organization
Organization Name:VALLEY MEDICAL FACILITIES, INC.
Other - Org Name:VALLEY MEDICAL FACILITIES, HERITAGE VALLEY BEAVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-773-4730
Mailing Address - Street 1:1000 DUTCH RIDGE RD
Mailing Address - Street 2:INPATIENT PSYCHIATRIC UNIT
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-9727
Mailing Address - Country:US
Mailing Address - Phone:724-773-2014
Mailing Address - Fax:724-773-8210
Practice Address - Street 1:1000 DUTCH RIDGE RD
Practice Address - Street 2:INPATIENT PSYCHIATRIC UNIT
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-9727
Practice Address - Country:US
Practice Address - Phone:724-773-2014
Practice Address - Fax:724-773-8210
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY MEDICAL FACILITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA94110273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000033550183Medicaid
PA915OtherHIGHMARK- COMMERCIAL INS.
PA915OtherHIGHMARK- COMMERCIAL INS.