Northeast Valley Health Corporation

LBN: Northeast Valley Health Corporation
Northeast Valley Health Corporation is an health care organization with primary practice located at 7223 N. Fair Avenue , Sun Valley CA 91352. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Northeast Valley Health Corporation can be contacted via phone (818) 432-4400, or through Wyard, Kimberly via phone (818) 898-1388.

Contact Information

Primary practice address
7223 N. Fair Avenue Sun Valley CA 91352
Phone: (818) 432-4400
Fax: (818) 764-7930
Website:
Map and Directions
Authorized official contact:
Name: Wyard, Kimberly
Phone: (818) 898-1388

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1013199264
LBN Legal business name Northeast Valley Health Corporation
DBA Doing business as
Authorized official Wyard, Kimberly
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Feb 22nd, 2022 - about 3 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 1013199264 NPPES
California Other 05-1137 MEDICARE PROVIDER #

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