Provider Demographics
NPI:1922601467
Name:VALLEY HEALTHCARE SYSTEM, INC
Entity Type:Organization
Organization Name:VALLEY HEALTHCARE SYSTEM, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-322-9599
Mailing Address - Street 1:341 N WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:TALBOTTON
Mailing Address - State:GA
Mailing Address - Zip Code:31827-2037
Mailing Address - Country:US
Mailing Address - Phone:706-665-8800
Mailing Address - Fax:
Practice Address - Street 1:341 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:TALBOTTON
Practice Address - State:GA
Practice Address - Zip Code:31827-2037
Practice Address - Country:US
Practice Address - Phone:706-665-8800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HEALTHCARE SYSTEM, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy