Basic Information
| Provider Information | |||||||||
| NPI: | 1952315681 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | THE VALLEY FOUNDATION | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 GOVERNORS DR SW | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358015123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565365511 | ||||||||
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| Practice Location | |||||||||
| Address1: | 301 GOVERNORS DR SW | ||||||||
| Address2: | |||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358015123 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565365511 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | BENCE | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | SCOTT | ||||||||
| AuthorizedOfficialTitleorPosition: | ASSISTANT DEAN OF FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 2565514450 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No ID Information.