Organization
VALLEY HEALTHCARE SYSTEM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E LANG (CEO)
(706) 322-9599
Entity
Organization
Contact information
Practice address
1315 DELAUNEY AVE, STE 201, COLUMBUS, GA 31901-2367
(706) 322-9599
(706) 322-9567
Mailing address
1315 DELAUNEY AVE, STE 201, COLUMBUS, GA 31901-2367
(706) 322-9599
(706) 322-9567
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000617196G
—
GA
01
—
202G702049
MEDICARE PTAN
GA
05
—
630001022
—
AL
Enumeration date
06/02/2006
Last updated
06/22/2011
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