Provider Demographics
NPI:1740216415
Name:VALLEY HOPE ASSOCIATION
Entity Type:Organization
Organization Name:VALLEY HOPE ASSOCIATION
Other - Org Name:PARKER 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 1:22422 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-0670
Practice Address - Country:US
Practice Address - Phone:303-841-7857
Practice Address - Fax:303-841-6526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
461414OtherVALUE OPTIONS PROVIDER #