Healthcare Provider Details

I. General information

NPI: 1356844575
Provider Name (Legal Business Name): VALLEY MEDICAL FACILITIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2018
Last Update Date: 11/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 DUTCH RIDGE RD
BEAVER PA
15009-9727
US

IV. Provider business mailing address

1000 DUTCH RIDGE RD MEDICAL STAFF OFFICE
BEAVER PA
15009-9727
US

V. Phone/Fax

Practice location:
  • Phone: 724-773-1941
  • Fax: 724-773-8370
Mailing address:
  • Phone: 724-773-4776
  • Fax: 724-773-4726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. BRYAN RANDALL SR.
Title or Position: VICE PRESIDENT & CFO
Credential:
Phone: 724-773-4776