Associated Valley Providers Pllc

LBN: Associated Valley Providers Pllc
Associated Valley Providers Pllc is an health care organization with primary practice located at 4361 Talbot Rd S Suite 112, Renton WA 98055-6226. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Associated Valley Providers Pllc can be contacted via phone (425) 255-5111, or through Vanderheyden, John L via phone (425) 255-5111.

Contact Information

Primary practice address
4361 Talbot Rd S Suite 112 Renton WA 98055-6226
Phone: (425) 255-5111
Fax: (425) 254-0985
Website:
Map and Directions
Authorized official contact:
Name: Vanderheyden, John L Doctor of Medicine (MD)
Phone: (425) 255-5111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Washington
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Washington

Profile Details

NPI number 1043490543
LBN Legal business name Associated Valley Providers Pllc
DBA Doing business as
Authorized official Vanderheyden, John L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2007
Last updated Sep 22nd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043490543 NPPES
Washington MEDICAID 7112634

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