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Organization
VALLEY MEDICAL FACILITIES, INC
Active
Organization
VALLEY MEDICAL FACILITIES, INC
Active
Other names
Staunton Clinic Kennedy
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE ANNE BUSH (CREDENTIALING)
(412) 749-7331
Entity
Organization
Contact information
Practice address
8 HATTMAN DR, CORAOPOLIS, PA 15108-3728
(412) 458-1331
Mailing address
8 HATTMAN DR, CORAOPOLIS, PA 15108-3728
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003355
—
PA
Enumeration date
11/25/2019
Last updated
11/25/2019
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