NPIMap

Organization Active NPI

Valley Medical Facilities, Inc.

Doing business as The Medical Center, Beaver, Staunton Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, PA
National Provider Identifier
1962687921
Registry record updated Jan 14, 2008
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
The Medical Center, Beaver, Staunton Clinic
Practice address
176 Virginia Avenue
Heritage Valley Staunton Clinic Rochester
Rochester, PA 15074-1723
Phone
(412) 749-7338
NPI assigned
Jan 8, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY MEDICAL FACILITIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Bryan J. Randall
Title
Vice President/Cfo
Phone
(412) 749-7027

Specialties & licenses 1

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

Addresses

Primary practice location

176 Virginia Avenue
Heritage Valley Staunton Clinic Rochester
Rochester, PA 15074-1723

Mailing address

176 Virginia Avenue
Heritage Valley Staunton Clinic Rochester
Rochester, PA 15074-1723
Phone (412) 749-7338

Other identifiers 1

IdentifierTypeStateIssuer
0915OtherPAHIGHMARK

Other names 1

  • The Medical Center, Beaver, Staunton Clinic 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
Part of
Valleymedicalfacilitiesdbasewickleyvalleyhospital Short Procedure Uni

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1962687921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVENUE",
            "address_2": "HERITAGE VALLEY STAUNTON CLINIC ROCHESTER",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "412-749-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 VIRGINIA AVENUE",
            "address_2": "HERITAGE VALLEY STAUNTON CLINIC ROCHESTER",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150741723",
            "telephone_number": "412-749-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL FACILITIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MEDICAL FACILITIES, INC.",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "412-749-7027",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "PA",
            "license": "940070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0915",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Center, Beaver, Staunton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.