Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
UPPER VALLEY PROFESSIONAL CORPORATION
Active
Organization
UPPER VALLEY PROFESSIONAL CORPORATION
Active
Other names
Hyatt Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAM RADER (ADMINISTRATOR)
(937) 440-7454
Entity
Organization
Contact information
Practice address
450 N HYATT ST, SUITE 202, TIPP CITY, OH 45371-1433
(937) 669-9978
(937) 669-1266
Mailing address
PO BOX 479, TROY, OH 45373-0479
(937) 669-9978
(937) 669-1266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616404
—
OH
Enumeration date
09/22/2006
Last updated
08/20/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up