NPIMap

Organization Active NPI

Valley Healthcare System, Inc

  • Community Health Clinic/Center
  • Columbus, GA
National Provider Identifier
1669410866
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
VALLEY HEALTHCARE SYSTEM, INC
Practice address
1315 Delauney Ave
Ste 201
Columbus, GA 31901-2367
Phone
(706) 322-9599
Fax
(706) 322-9567
NPI assigned
Jun 2, 2006
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Sarah E Lang
Title
Ceo
Phone
(706) 322-9599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X GA Primary

Addresses

Primary practice location

1315 Delauney Ave
Ste 201
Columbus, GA 31901-2367

Mailing address

1315 Delauney Ave
Ste 201
Columbus, GA 31901-2367
Phone (706) 322-9599

Other identifiers 3

IdentifierTypeStateIssuer
000617196GMedicaidGA
202G702049OtherGAMEDICARE PTAN
630001022MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000880 GA Part B Supplier - Clinic/Group Practice 8628988276 Receives reassigned benefits from 34 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, GA; Fortson, GA; Talbotton, GA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1315 Delauney Ave
Ste 201
Columbus, GA 31901
Phone (706) 322-9599

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1669410866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 DELAUNEY AVE",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012367",
            "telephone_number": "706-322-9599",
            "fax_number": "706-322-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 DELAUNEY AVE",
            "address_2": "STE 201",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012367",
            "telephone_number": "706-322-9599",
            "fax_number": "706-322-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE SYSTEM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-322-9599"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000617196G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G702049",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "630001022",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.