Provider Demographics
NPI:1265462170
Name:VALLEY HOPE ASSOCIATION
Entity Type:Organization
Organization Name:VALLEY HOPE ASSOCIATION
Other - Org Name:WICHITA VALLEY HOPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CONTRACT ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-877-5111
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:103 S. WABASH AVE.
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-0510
Mailing Address - Country:US
Mailing Address - Phone:785-877-5111
Mailing Address - Fax:785-877-2322
Practice Address - Street 1:650 S WESTDALE DR
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2562
Practice Address - Country:US
Practice Address - Phone:316-264-7369
Practice Address - Fax:316-264-7526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00870066261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
461414OtherVALUE OPTIONS PROVIDER #