| Valley Healthcare System Inc | |
|
1600 Fort Benning Road Columbus GA 31903-2407 | |
| (706) 322-9599 | |
| (706) 322-9567 |
| Full Name | Valley Healthcare System Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Fort Benning Road, Columbus, Georgia |
| Authorized Official Name and Position | Sarah E Lang (CEO) |
| Authorized Official Contact | 7063229599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Healthcare System Inc 1600 Fort Benning Road Columbus GA 31903-2407 Ph: (706) 322-9599 | Valley Healthcare System Inc 1600 Fort Benning Road Columbus GA 31903-2407 Ph: (706) 322-9599 |
| NPI Number | 1609814219 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 07/03/2018 |
| Medicare PECOS PAC ID | 8628988276 |
|---|---|
| Medicare Enrollment ID | O20030514000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609814219 | NPI | - | NPPES |
| 202G702049 | Other | GA | MEDICARE PTAN |
| 630000022 | Medicaid | AL | |
| 000617196A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | () | Secondary |
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