Healthcare Provider Details

I. General information

NPI: 1790341907
Provider Name (Legal Business Name): VALLEY MEDICAL FACILITIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HECKEL RD
MC KEES ROCKS PA
15136-1651
US

IV. Provider business mailing address

25 HECKEL RD
MC KEES ROCKS PA
15136-1651
US

V. Phone/Fax

Practice location:
  • Phone: 412-777-6280
  • Fax:
Mailing address:
  • Phone: 412-777-6280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ROBERT M ROSENBERGER
Title or Position: VP FINANCE / CFO
Credential:
Phone: 724-773-4730