VALLEY MEDICAL
NPI 1477655744
Clinic/Center - Federally Qualified Health Center (FQHC) in Edwardsville, PA

Active since September 05, 2006CLIA 39D0193297 · Waiver
75 S WYOMING AVE STE 2&3, EDWARDSVILLE, PA 18704(570) 704-4233(570) 763-4489 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Jul 2, 2020, Jun 10, 2020 and 1 more (4 updates tracked since 2020).

About Valley Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY MEDICAL (NPI 1477655744) is a healthcare organization registered as a federally qualified health center (fqhc) in Edwardsville, Pennsylvania and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through December 27, 2026 and lists Matthew J Iskra, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477655744
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameRURAL HEALTH CORPORATION OF NORTHEASTERN PENNSYLVANIA
Location Address75 S WYOMING AVE STE 2&3Edwardsville, PA 18704-3103
Mailing Address276 E End CtrWilkes Barre, PA 18702-6970 · (570) 825-8741 · Fax (570) 825-8990
Fax(570) 763-4489
Organization SubpartYes
Authorized OfficialMatthew J IskraCfo · (570) 825-8741
Enumeration DateSeptember 5, 2006
Last NPPES UpdateOctober 26, 20234 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
NPI 1477655744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
75 S WYOMING AVE STE 2&3, Edwardsville, PA 18704

Other Names 1

Doing Business AsValley Medical

Other Identifiers 1

Medicaid1007296090047PA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0193297

Valley Medical · Edwardsville, PA
Active · expires Dec 27, 2026
CLIA Number39D0193297
Laboratory TypeOther
Certificate Effective DateDecember 28, 2024
Certificate Expiration DateDecember 27, 2026
Laboratory DirectorDr. Mary E. Sokach
Laboratory Phone(570) 704-4233
Laboratory LocationValley Medical75 S Wyoming Ave, Suites 2 & 3, Edwardsville, PA 18704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rural Health Corporation Of Northeastern Pennsylvania's NPI number?

The NPI number for Rural Health Corporation Of Northeastern Pennsylvania is 1477655744. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Valley Medical.

Where is Rural Health Corporation Of Northeastern Pennsylvania located?

Rural Health Corporation Of Northeastern Pennsylvania is located at 75 S Wyoming Ave Ste 2&3, Edwardsville, PA 18704. The listed phone number is (570) 704-4233.

What is Rural Health Corporation Of Northeastern Pennsylvania's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Rural Health Corporation Of Northeastern Pennsylvania hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0193297) is associated with this NPI, valid through December 27, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rural Health Corporation Of Northeastern Pennsylvania accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rural Health Corporation Of Northeastern Pennsylvania as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rural Health Corporation Of Northeastern Pennsylvania was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.