| Organization Name: | VALENTINE MEDICAL CLINIC, LLC |
| NPI Number: | 1881704229 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEB RYSCHON (OFFICE MANAGER) |
| Mailing Address: | 502 N Cherry St Valentine |
| State: | NE US |
| Postal Code: | 692011518 |
| Phone Number: | 4023762200 |
| Fax Number: | 4023762219 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 09/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 21205 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |