Active NPI
Valley Area ENT Clinic, LLC
- Otolaryngology Physician
- Valley, AL
National Provider Identifier
1811383979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Legal business name
- VALLEY AREA ENT CLINIC, LLC
- Practice address
- 11 Medical Park
Valley, AL 36854-3665 - Phone
- (334) 756-2189
- Fax
- (334) 756-2139
- NPI assigned
- Apr 15, 2015
- Organization subpart
- Yes
- Parent organization
- THE EAST ALABAMA HEALTH CARE AUTHORITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel A Price Jr.
- Title
- Cfo
- Phone
- (334) 528-1310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Primary |
Addresses
Primary practice location
11 Medical Park
Valley, AL 36854-3665
Mailing address
11 Medical Park
Valley, AL 36854-3665
Phone (334) 756-2189
National Provider Directory
National Provider Directory- Part of
- Bethany House of East Alabama Medical Center
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471478400000",
"number": "1811383979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543665",
"telephone_number": "334-756-2189",
"fax_number": "334-756-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK",
"city": "VALLEY",
"state": "AL",
"postal_code": "368543665",
"telephone_number": "334-756-2189",
"fax_number": "334-756-2139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY AREA ENT CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE EAST ALABAMA HEALTH CARE AUTHORITY",
"enumeration_date": "2015-04-15",
"last_updated": "2016-08-18",
"status": "A",
"authorized_official_last_name": "PRICE",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "334-528-1310",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.