Organization Active NPI

Valley Medical Facilities, Inc.

Doing business as Heritage Valley Sewickley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Imperial, PA
National Provider Identifier
1730411992
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
940070 Issued in PA
Legal business name
VALLEY MEDICAL FACILITIES, INC.
Doing business as
Heritage Valley Sewickley
Practice address
400 Penn Lincoln Dr
Imperial, PA 15126-9781
Phone
(412) 749-7000
Fax
(412) 749-6761
NPI assigned
Feb 12, 2010
Last updated
Jun 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Authorized official

Name
Robert M Rosenberger
Title
Cfo
Phone
(724) 773-4730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 940070 PA Primary

Addresses

Primary practice location

400 Penn Lincoln Dr
Imperial, PA 15126-9781

Mailing address

400 Penn Lincoln Dr
Imperial, PA 15126-9781
Phone (412) 749-7000

Other identifiers 1

IdentifierTypeStateIssuer
1000033550170MedicaidPA

Other names 1

  • Heritage Valley Sewickley Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301000431 PA Part B Supplier - Hospital Department(S) 8325956592 Receives reassigned benefits from 23 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bellevue, PA; Imperial, PA; MC Kees Rocks, PA; Sewickley, PA; Wexford, PA

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Medical Ctr Beaver PA21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1730411992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PENN LINCOLN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269781",
            "telephone_number": "412-749-7000",
            "fax_number": "412-749-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PENN LINCOLN DR",
            "city": "IMPERIAL",
            "state": "PA",
            "postal_code": "151269781",
            "telephone_number": "412-749-7000",
            "fax_number": "412-749-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-773-4730"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "940070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000033550170",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Valley Sewickley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heritage Valley Sewickley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Imperial, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.