NPIMap

Organization Active NPI

Upper Valley Medical Center Auxiliary

  • Durable Medical Equipment & Medical Supplies
  • Troy, OH
National Provider Identifier
1568424323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UPPER VALLEY MEDICAL CENTER AUXILIARY
Practice address
3130 N Dixie Hwy
Troy, OH 45373-1337
Phone
(937) 440-7790
Fax
(937) 440-7886
NPI assigned
Apr 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael J Maiberger
Title
Coo
Phone
(937) 440-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Troy, OH 45373-1337

Mailing address

3130 N Dixie Hwy
Troy, OH 45373-1337
Phone (937) 440-7790

Other names 1

  • Upper Valley Medical Center Lifeline Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 360184

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
UPPER VALLEY MEDICAL CENTER
Certification status
Terminated Voluntary: merger or closure, Jan 1, 1998
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 8, 1989
Beds
214
Ownership / control type
Other
Facility address
3130 N Dixie Highway
Troy, OH 45373

National Provider Directory

National Provider Directory
Tax ID family
Upper Valley Medical Center Auxiliary7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568424323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-7790",
            "fax_number": "937-440-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-440-7790",
            "fax_number": "937-440-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY MEDICAL CENTER AUXILIARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIBERGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "937-440-4000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upper Valley Medical Center Lifeline",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.