Organization
UPPER VALLEY MEDICAL CENTER
Active
Organization
UPPER VALLEY MEDICAL CENTER
Active
Other names
Sub Provider Psych
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY D. SNIDER (VICE PRESIDENT FINANCE)
(937) 440-7853
Entity
Organization
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4000
(937) 440-7882
Mailing address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-4000
(937) 440-7882
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
052386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8502258
—
OH
Enumeration date
08/04/2006
Last updated
08/22/2020
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