UPPER VALLEY MEDICAL CENTER (NPI# 1194733121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194733121 |
| Entity Type | Organization |
| Organization Name | UPPER VALLEY MEDICAL CENTER |
| Other Organization Name | SUB PROVIDER PSYCH |
| Practice Address |
3130 N County Road 25a Troy OH 45373-1337 |
| Practice Telephone | 9374404000 |
| Practice Fax Number | 9374407882 |
| Mailing Telephone | 9374404000 |
| Mailing Fax Number | 9374407882 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TIMOTHY D. SNIDER (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 9374407853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 052386 | OH | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 8502258 | 05 |
| Other Name | Type Code |
|---|---|
| Sub Provider Psych | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497293625 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-02-08 |
| 1063721595 | Upper Valley Medical Center | Home Health | 3130 N County Road 25a, Troy, OH 45373-1337 | 2010-10-01 |
| 1639255755 | Upper Valley Medical Center | Counselor | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-10-31 |
| 1093891129 | Upper Valley Medical Center | Counselor | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-10-31 |
| 1649288085 | Upper Valley Medical Center | Rehabilitation Unit | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-08-03 |
| 1184638942 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-28 |
| 1164436234 | Upper Valley Medical Center | General Acute Care Hospital | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-27 |
| 1588678676 | Upper Valley Medical Center | Home Health | 3130 N County Road 25a, Troy, OH 45373-1337 | 2006-07-27 |
| Street Address |
3130 N COUNTY ROAD 25A |
| City | TROY |
| State | OH |
| Zip Code | 45373-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956772 | Michael Todd Boggs | Family Medicine | 3130 N County Road 25a, Troy, OH 45373-1337 | 2005-07-19 |
| 1417504630 | Kerri Marie Starkey | Massage Therapist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-08-22 |
| 1033762562 | Kara Sue Bruskotter | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-07-23 |
| 1003477506 | Christine L Asher | Registered Nurse | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-25 |
| 1386203966 | Danielle Morgan Wheeler | Physician Assistant | 3130 N County Road 25a, Troy, OH 45373-1337 | 2019-06-07 |
| 1881173607 | Alaine C. Kirby | Nurse Practitioner | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-08-13 |
| 1750871075 | Sarah Flora | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-11 |
| 1083103667 | Brian Allen Haynes | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-05-09 |
| 1790292191 | Michael E. Barhorst | Pharmacist | 3130 N County Road 25a, Troy, OH 45373-1337 | 2018-01-08 |
| 1386156115 | Seth Gullett | Nurse Anesthetist, Certified Registered | 3130 N County Road 25a, Troy, OH 45373-1337 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248336 | Julie M Anderson | Home Health Aide | 74 Tamworth Road, Troy, OH 45373 | 2020-09-05 |
| 1376007682 | Community Housing of Darke, Miami & Shelby Counties, Inc | Peer Specialist | 1100 Wayne Ave Suite 4001, Troy, OH 45373 | 2019-01-31 |
| 1861982423 | Omni Wellness Group LLC | Family Medicine | 1149 Experiment Farm Road, Troy, OH 45373 | 2018-05-18 |
| 1336638758 | Kristin Dolph | Counselor | 305 Public Sq, Troy, OH 45373 | 2018-05-02 |
| 1912425448 | Wanda Denise Hudson | Counselor | 550 Sumitt Ave, Troy, OH 45373 | 2017-09-05 |
| 1538685383 | Cassandra Ann Zerkle | Occupational Therapist | 2000 W. Stainfield Rd., Troy, OH 45373 | 2017-08-14 |
| 1891215224 | Michele Josefovsky | Nurse Practitioner | 31 S Stanfield Rd Ste 301, Troy, OH 45373 | 2017-06-27 |
| 1295271104 | Alison Moyer | Specialist/Technologist | 1852 Towne Park Dr Apt 6b, Troy, OH 45373 | 2017-01-17 |
| 1982151148 | Amanda Falldorf | Nurse Practitioner | 1843 W Main St, Troy, OH 45373 | 2016-09-06 |
| 1588093314 | Quad Med LLC | Clinic/Center | 1447 E. Main Street, Troy, OH 45373 | 2013-11-02 |
| Find all providers in zip 45373 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548787286 | The Troy Hospital Health Care Authority | Psychiatric Unit | 1330 Highway 231 S, Troy, AL 36081-3058 | 2017-08-24 |
| 1154605632 | Samaritan Hospital | Psychiatric Unit | 122 1st St, 3e, Troy, NY 12180-4430 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.