Provider Demographics
NPI:1902794688
Name:VALLEY HOPE MEDICAL GROUP, LLC
Entity type:Organization
Organization Name:VALLEY HOPE MEDICAL GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIR OF CONTRACT ADMIN
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 800081
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-0081
Mailing Address - Country:US
Mailing Address - Phone:785-877-5169
Mailing Address - Fax:785-877-4104
Practice Address - Street 1:10955 GRANADA LN
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1440
Practice Address - Country:US
Practice Address - Phone:913-432-4037
Practice Address - Fax:913-327-3978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty