Organization
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY WARREN (CEO)
(765) 492-9042
Entity
Organization
Contact information
Practice address
703 W PARK ST, CAYUGA, IN 47928-8207
(765) 492-9042
(765) 492-9048
Mailing address
PO BOX 344, CLINTON, IN 47842-0344
(765) 492-9042
(765) 492-9048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200884580B
—
IN
Enumeration date
11/03/2009
Last updated
03/26/2025
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