Provider Demographics
NPI:1326339862
Name:VALLEY MEDICAL FACILITIES, INC
Entity Type:Organization
Organization Name:VALLEY MEDICAL FACILITIES, INC
Other - Org Name:HERITAGE VALLEY KENNEDY
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 1:25 HECKEL RD
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1651
Mailing Address - Country:US
Mailing Address - Phone:412-777-6161
Mailing Address - Fax:412-777-6838
Practice Address - Street 1:25 HECKEL RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1651
Practice Address - Country:US
Practice Address - Phone:412-777-6161
Practice Address - Fax:412-777-6838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-02
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA273R00000X273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007502820024Medicaid
PA1007502820003Medicaid
PA1007502820014Medicaid
WV0169494000Medicaid
PAP008461OtherCHAMPUS
OH0146416Medicaid
PA374735OtherBLACK LUNG
PA1007502820024Medicaid
PA39T157Medicare Oscar/Certification