Provider Demographics
NPI:1952434185
Name:VALLEY MEDICAL SYSTEMS, INC.
Entity Type:Organization
Organization Name:VALLEY MEDICAL SYSTEMS, INC.
Other - Org Name:VALLEY HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:CRIST
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:559-222-4060
Mailing Address - Street 1:2511 W SHAW AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-3325
Mailing Address - Country:US
Mailing Address - Phone:559-222-4060
Mailing Address - Fax:559-222-4260
Practice Address - Street 1:2511 W SHAW AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-3325
Practice Address - Country:US
Practice Address - Phone:559-222-4060
Practice Address - Fax:559-222-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059227Medicare Oscar/Certification