VALLEY VIEW HEALTH CENTER MARY'S CORNER – NPI #1326729864
Clinic/Center

VALLEY VIEW HEALTH CENTER MARY'S CORNER is an AHC clinic located in CHEHALIS, WA. NPPES has assigned the NPI number 1326729864 to VALLEY VIEW HEALTH CENTER MARY'S CORNER on July 27, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VALLEY VIEW HEALTH CENTER MARY'S CORNER” is a dba name, the actual legal business name for this organization is LEWIS COUNTY COMMUNITY HEALTH SERVICES. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 2 years ago on Jan 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLEY VIEW HEALTH CENTER MARY'S CORNER below.

NPI Profile for
LEWIS COUNTY COMMUNITY HEALTH SERVICES

NPI Number
1326729864
Enumeration Date

(about 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LEWIS COUNTY COMMUNITY HEALTH SERVICES
Doing Business As (dba): VALLEY VIEW HEALTH CENTER MARY'S CORNER
Primary location
4254 JACKSON HWY
CHEHALIS, WA 98532-8424
Phone: (360) 996-6603 Fax: (360) 996-6604
Mailing address
2690 NE KRESKY AVE
CHEHALIS, WA 98532-2412
Phone: (360) 330-9595 Fax: (360) 330-9560
Organization Subpart
No
Authorized Official
GAELON SPRADLEY
CEO
Phone: (360) 330-9555
Updated
Certification Date
Jan 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for VALLEY VIEW HEALTH CENTER MARY'S CORNER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA7126972
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.