Upper Valley Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

052386 Issued in OH

Legal business name

UPPER VALLEY MEDICAL CENTER

Practice address

3130 N County Road 25a
Troy, OH 45373-1337

Phone

(937) 440-4000

Fax

(937) 440-7882

NPI assigned

Aug 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy D. Snider

Title

Vice President Finance

Phone

(937) 440-7853

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sub Provider Psych Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194733121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4000",
            "fax_number": "937-440-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-4000",
            "fax_number": "937-440-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "937-440-7853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "052386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8502258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sub Provider Psych",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Upper Valley Kidney Clinic LLC
• Upper Valley Medical Center
• Upper Valley Medical Center
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• Upper Valley Medical Center
• Upper Valley Medical Center
• Upper Valley Medical Center
• Upper Valley Medical Center
• Upper Valley Medical Center Auxiliary

• Psychiatric Hospital Unit in Troy, OH
• Providers in Troy, OH by specialty
• Psychiatric Hospital Unit in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.