Provider Demographics
NPI:1952419681
Name:VALLEY MEDICAL FACILITIES, INC.
Entity Type:Organization
Organization Name:VALLEY MEDICAL FACILITIES, INC.
Other - Org Name:VALLEY MEDICAL FACILITIES D/B/A SEWICKLEY VALLEY HOSPITAL INPT REHAB U
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RANDALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-749-7027
Mailing Address - Street 1:720 BLACKBURN RD
Mailing Address - Street 2:INPATIENT REHABILITATION UNIT
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1459
Mailing Address - Country:US
Mailing Address - Phone:724-773-2014
Mailing Address - Fax:412-749-7400
Practice Address - Street 1:720 BLACKBURN RD
Practice Address - Street 2:INPATIENT REHABILITATION UNIT
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1459
Practice Address - Country:US
Practice Address - Phone:724-773-2014
Practice Address - Fax:412-749-7400
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY MEDICAL FACILITIES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-25
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390037273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA966OtherHIGHMARK- COMMERCIAL INS.
PA1000033550185Medicaid
PA1000033550185Medicaid