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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