Summit County Program

LBN: Valley Mental Health Incorporated
Summit County Program is an health care organization with primary practice located at 1753 Sidewinder Dr Suite S200, Park City UT 84060-7258. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Valley Mental Health Incorporated can be contacted via phone (435) 649-9079, or through Falvo, Debra via phone (801) 263-7100.

Contact Information

Primary practice address
1753 Sidewinder Dr Suite S200 Park City UT 84060-7258
Phone: (435) 649-9079
Fax: (435) 649-2157
Website:
Map and Directions
Authorized official contact:
Name: Falvo, Debra MHCA/RN
Phone: (801) 263-7100

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Utah
Behavioral Health & Social Service Providers / Clinical 103TC0700X Utah
Behavioral Health & Social Service Providers / Clinical 1041C0700X Utah
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Utah
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X Utah
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Utah
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X Utah

Profile Details

NPI number 1295791721
LBN Legal business name Valley Mental Health Incorporated
DBA Doing business as Summit County Program
Authorized official Falvo, Debra MHCA/RN
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated Aug 25th, 2011 - about 13 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 1295791721 NPPES
Utah Other 2423 PEHP

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