VALLEY MEDICAL – NPI #1477655744
Clinic/Center

VALLEY MEDICAL is an AHC clinic located in EDWARDSVILLE, PA. NPPES has assigned the NPI number 1477655744 to VALLEY MEDICAL on September 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “VALLEY MEDICAL” is a dba name, the actual legal business name for this organization is RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA. With multiple taxonomy codes selected, 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 3 years ago on Oct 26, 2023. 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 MEDICAL below.

NPI Profile for
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA

NPI Number
1477655744
Enumeration Date

(about 20 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
RURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Doing Business As (dba): VALLEY MEDICAL
Primary location
75 S WYOMING AVE STE 2&3
EDWARDSVILLE, PA 18704-3103
Phone: (570) 704-4233 Fax: (570) 763-4489
Mailing address
276 E END CTR
WILKES BARRE, PA 18702-6970
Phone: (570) 825-8741 Fax: (570) 825-8990
Organization Subpart
Yes - VALLEY MEDICAL is subpart of another organization.
Authorized Official
MATTHEW ISKRA
CFO
Phone: (570) 825-8741
Updated
Certification Date
Oct 26, 2023

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 MEDICAL

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
medicaidPA1007296090047
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.

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.