MEDICARE: VALLEY HEALTH CARE INC.

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
1	261Q00000X	Clinic/Center		NM

General Provider Information

NPI Number	:	1437333424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	1010 BRIDGE BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-3765
Country	:	US
Telephone Number	:	505-873-4258
Fax Number	:	505-873-4260

Provider Business Practice Location Address
First Line	:	1010 BRIDGE BLVD SW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87105-3765
Country	:	US
Telephone Number	:	505-873-4258
Fax Number	:	505-873-4260

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES A ROEDEMA
Credential	:
Telephone Number	:	720-434-0245

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	07/21/2022

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Directions to “VALLEY HEALTH CARE INC. ” Practice Location

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