NPIMap

Organization Active NPI

Vall Professionals Health Center

  • Nurse Practitioner
  • Clinton, IN
National Provider Identifier
1821402280
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VALL PROFESSIONALS HEALTH CENTER
Practice address
777 S Main St
Clinton, IN 47842-2493
Phone
(765) 828-1003
NPI assigned
Jun 13, 2014
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
T.J. Warren
Title
Ceo
Phone
(765) 828-1003

Corporate family (same tax ID) 6

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

National Provider Directory

National Provider Directory
Tax ID family
Valley Professionals Community Health Center Inc (7 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

777 S Main St
Clinton, IN 47842-2493

Mailing address

777 S Main St
Clinton, IN 47842-2493
Phone (765) 828-1003

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2014.

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1821402280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S MAIN ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422493",
            "telephone_number": "765-828-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALL PROFESSIONALS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "T.J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-828-1003"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.