Organization
VALLE VISTA, LLC
Active
Other names
Valle Vista Health System
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON JR. (SRVP CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 882-1631
Mailing address
898 E MAIN ST, GREENWOOD, IN 46143-1407
(317) 887-1348
(317) 882-1631
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
307-0-ASR
IN
283Q00000X
Psychiatric Hospital
307-1-PIP
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273400A
—
IN
05
—
200139010A
—
IN
05
—
200376070A
—
IN
Enumeration date
05/27/2006
Last updated
03/27/2012
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