Provider Demographics
NPI:1275108383
Name:VALLEYCARE, LLC
Entity Type:Organization
Organization Name:VALLEYCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIM
Authorized Official - Suffix:
Authorized Official - Credentials:AGNP-C
Authorized Official - Phone:540-404-9637
Mailing Address - Street 1:610 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:VA
Mailing Address - Zip Code:24153-5012
Mailing Address - Country:US
Mailing Address - Phone:540-404-9637
Mailing Address - Fax:
Practice Address - Street 1:610 S MARKET ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153-5012
Practice Address - Country:US
Practice Address - Phone:540-345-3556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty