- Enrollment id
- O20211027001371
- Enrollment state
- PA
- Provider type code
- 00-04
- Provider type text
- PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
- Npi
- 1760017636
- Multiple npi flag
- N
- Ccn
- 731933
- Associate id
- 4284065327
- Organization name
- VALLEY HEALTH PARTNERS COMMUNITY HEALTH CENTER
- Doing business as name
- VHP- CENTRO DE SALUD
- Incorporation date
- 2020-04-22
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 1627 CHEW ST
- Address line 2
- STE 403
- City
- ALLENTOWN
- State
- PA
- Zip code
- 181023648
- Telephone number
- 6109693600