Organization
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY J. WARREN (CEO)
(812) 828-1003
Entity
Organization
Contact information
Practice address
777 S MAIN ST, SUITE 100, CLINTON, IN 47842-2493
(765) 828-1003
(765) 828-1030
Mailing address
PO BOX 344, CLINTON, IN 47842-0344
(765) 828-1003
(765) 828-1030
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884580A
—
IN
Enumeration date
11/06/2007
Last updated
02/19/2015
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