Healthcare Provider Details

I. General information

NPI: 1548054075
Provider Name (Legal Business Name): VALCORE RESOURCE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E MAIN ST
NEW ALBANY IN
47150-5827
US

IV. Provider business mailing address

600 E MAIN ST
NEW ALBANY IN
47150-5827
US

V. Phone/Fax

Practice location:
  • Phone: 502-554-3191
  • Fax:
Mailing address:
  • Phone: 502-554-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM E COOKE
Title or Position: PRESIDENT
Credential: MD
Phone: 812-252-9020