Organization
VALLEY HOSPICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA BOUGHER (CEO)
(740) 859-5650
Entity
Organization
Contact information
Practice address
10686 STATE ROUTE 150, RAYLAND, OH 43943-7847
(740) 859-5650
(740) 859-5695
Mailing address
10686 STATE ROUTE 150, RAYLAND, OH 43943-7847
(740) 859-5650
(740) 859-5695
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0027-HSP
OH
251G00000X
Community Based Hospice Care Agency
0687890
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157291
ANTHEM BC/BS
OH
05
—
0005170000
—
WV
05
—
0005170001
—
WV
05
—
0005170005
—
WV
05
—
0005170007
—
WV
05
—
0820231
—
OH
01
—
28216
ADVANTRA
OH
01
—
S727
HEALTH PLAN
OH
Enumeration date
06/15/2005
Last updated
04/21/2022
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