Provider Demographics
NPI:1336638915
Name:VALLEY WEST COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:VALLEY WEST COMMUNITY HOSPITAL
Other - Org Name:VALLEY WEST HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYDEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-766-7338
Mailing Address - Street 1:PO BOX 904
Mailing Address - Street 2:
Mailing Address - City:DEKALB
Mailing Address - State:IL
Mailing Address - Zip Code:60115-0904
Mailing Address - Country:US
Mailing Address - Phone:815-786-8484
Mailing Address - Fax:
Practice Address - Street 1:1302 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-2587
Practice Address - Country:US
Practice Address - Phone:815-786-8484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILHF113984275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit