Organization Active NPI

Valley Area ENT Clinic, LLC

  • Otolaryngology Physician
  • Valley, AL
National Provider Identifier
1811383979
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
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 AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.