NPIMap

Organization Active NPI

Conneaut Valley Health Center, Inc.

  • Dental Clinic/Center
  • Conneautville, PA
National Provider Identifier
1699829069
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CONNEAUT VALLEY HEALTH CENTER, INC.
Doing business as
Valley Dental Center
Practice address
906 Washington St
Conneautville, PA 16406-7138
Phone
(814) 373-2284
Fax
(814) 373-2417
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Renato Suntay
Title
Chief Financial Officer
Phone
(814) 373-2923

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Dental Clinic/Center 261QD0000X PA Primary

Addresses

Primary practice location

906 Washington St
Conneautville, PA 16406-7138

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-2923

Other identifiers 1

IdentifierTypeStateIssuer
VA045197OtherPAUNITED CONCORDIA

Other names 1

  • Valley Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conneaut Valley Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1699829069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-2923",
            "fax_number": "814-333-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WASHINGTON ST",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164067138",
            "telephone_number": "814-373-2284",
            "fax_number": "814-373-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEAUT VALLEY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "SUNTAY",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-373-2923"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "VA045197",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conneautville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.