| Organization Name: | VALLEY MEDICAL CENTER P.C. |
| NPI Number: | 1740225598 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM E BERNER (CLINIC ADMINISTRATOR) |
| Mailing Address: | 308 S Harris St Willow Springs |
| State: | MO US |
| Postal Code: | 657931621 |
| Phone Number: | 4174693175 |
| Fax Number: | 4174691274 |
| NPI Enumeration Date: | 06/17/2006 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |