Healthcare Provider Details
I. General information
NPI: 1194289496
Provider Name (Legal Business Name): VALLEY MEDICAL FACILITIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2019
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1125 7TH AVE
BEAVER FALLS PA
15010-4426
US
IV. Provider business mailing address
1125 7TH AVE
BEAVER FALLS PA
15010-4426
US
V. Phone/Fax
- Phone: 724-773-8900
- Fax:
- Phone: 724-773-8900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QS0010X |
| Taxonomy | Sports Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
M
ROSENBERGER
Title or Position: CFO
Credential:
Phone: 724-773-4730