Basic Information
| Provider Information | |||||||||
| NPI: | 1821346016 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | VALLEY HEALTH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 461 WESTMORELAND DR | ||||||||
| Address2: | |||||||||
| City: | STEPHENS CITY | ||||||||
| State: | VA | ||||||||
| PostalCode: | 226552559 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408697231 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1840 AMHERST ST | ||||||||
| Address2: | |||||||||
| City: | WINCHESTER | ||||||||
| State: | VA | ||||||||
| PostalCode: | 226012808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5405367897 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2012 | ||||||||
| LastUpdateDate: | 08/21/2012 | ||||||||
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| AuthorizedOfficialLastName: | RESTREPO | ||||||||
| AuthorizedOfficialFirstName: | NICHOLAS | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | VICE PRESIDENT MEDICAL STAFF AFFAIR | ||||||||
| AuthorizedOfficialTelephone: | 5405368874 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 0024170299 | VA | Y | Hospitals | General Acute Care Hospital |
No ID Information.