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NPI Code Detail

MEDICARE: VALLEY REGIONAL MEDICAL SERVICES

MEDICARE: VALLEY REGIONAL MEDICAL SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2VALL165764OTHERNHNH BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1871770693
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY REGIONAL MEDICAL SERVICES
Provider Business Mailing Address
First Line : 23 STILES RD
Second Line :
City : SALEM
State : NH
Zip : 03079-2859
Country : US
Telephone Number : 603-893-4687
Fax Number : 603-893-3676
Provider Business Practice Location Address
First Line : 23 STILES RD
Second Line :
City : SALEM
State : NH
Zip : 03079-2859
Country : US
Telephone Number : 603-893-4687
Fax Number : 603-893-3676
Authorized Official
Title or Position : SENIOR VP, CHIEF OPERATING OFFICER
Name : MARTY MCDRURY
Credential :
Telephone Number : 978-687-0156
Provider Enumeration Date : 01/23/2008
Last Update Date : 01/23/2008

Similar Medicare Providers

1639162878 — MS. JENNY ESTELLE LOEW M.S., RD, LD
Practice Location Address:
23 STILES RD , SUITE 213
SALEM, NH
03079-2859
Practice Phone: 603-898-8934
Practice Fax: 603-898-8253
1255328589 — MICHAEL F SANDLER MD
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Practice Fax:
1467441923 — ORTHOPAEDICS NORTHEAST, P.C.
Practice Location Address:
29 STILES RD , SUITE 102
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1750364725 — MRS. CHARLOTTE ESTELLE LOEW MD
Practice Location Address:
23 STILES RD , SUITE 213
SALEM, NH
03079-2859
Practice Phone: 603-898-9834
Practice Fax: 603-898-8253
1689712176 — IRENE E.S. COHEN MS, CCC-SLP
Practice Location Address:
23 STILES RD , SUITE 218
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1932306735 — TERRENCE LICCIARDI III RPA
Practice Location Address:
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Directions to “VALLEY REGIONAL MEDICAL SERVICES ” Practice Location

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