Provider Demographics
NPI:1588485486
Name:VALLEY HOPE ASSOCIATION
Entity type:Organization
Organization Name:VALLEY HOPE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CONTRACT ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-877-5111
Mailing Address - Street 1:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-0510
Mailing Address - Country:US
Mailing Address - Phone:785-877-5111
Mailing Address - Fax:
Practice Address - Street 1:7718 E 91ST ST STE 120
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6051
Practice Address - Country:US
Practice Address - Phone:918-398-9928
Practice Address - Fax:539-812-2600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HOPE ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder