Upper Valley Professional Corporation

NPI Registration Record

Provider / Organization	NPI	Date Certified
UPPER VALLEY PROFESSIONAL CORPORATION	1407872518	2024-11-08

The organization Upper Valley Professional Corporation is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1407872518. Registration indicates Upper Valley Professional Corporation is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)

Entity Type	Organization

Provider Organization	UPPER VALLEY PROFESSIONAL CORPORATION
Practice Office Address	3130 N COUNTY ROAD 25A TROY, OH US
Practice Office Telephone	9374407497
Practice Office Fax	9374407337
Mailing Address	PO BOX 479 TROY, OH 453730479 US
Business Telephone	9374407497
Business Fax	9374407337
Authorized Official	DARLENE F MICHEL, SYSTEMS SUPPORT 9374996758

HPT Codes

Code	Practice	License No State
207Q00000X PRIMARY	Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians
193200000X MULT		Group Code

OPI Codes

2616404

MEDICAID

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