THE MEDICAL CENTER, BEAVER, STAUNTON CLINIC - NPI 1962687921

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

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About The Medical Center, Beaver, Staunton Clinic NPPES

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

THE MEDICAL CENTER, BEAVER, STAUNTON CLINIC (NPI 1962687921) is a healthcare organization registered as a mental health (including community mental health center) in Rochester, Pennsylvania and active in the NPI registry since January 2008. The organization lists Bryan J. Randall, Vice President/cfo, as its authorized official.

NPPES Registry Identity

NPI1962687921

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameVALLEY MEDICAL FACILITIES, INC.

Location Address176 VIRGINIA AVENUE, HERITAGE VALLEY STAUNTON CLINIC ROCHESTERRochester, PA 15074-1723

Mailing Address176 Virginia Avenue, Heritage Valley Staunton Clinic RochesterRochester, PA 15074-1723 · (412) 749-7338

Phone(412) 749-7338

Organization SubpartYes

Authorized OfficialBryan J. RandallVice President/cfo · (412) 749-7027

Enumeration DateJanuary 8, 2008

Last NPPES UpdateJanuary 14, 2008

✔ NPI 1962687921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in PA · 940070

176 VIRGINIA AVENUE, Rochester, PA 15074

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Other Names 1

Doing Business AsThe Medical Center, Beaver, Staunton Clinic

Other Identifiers 2

Medicare PIN390036PA

Other0915PA · Highmark

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KIMBERLY L. SPENCER R.N.