Provider Demographics
NPI:1437333424
Name:VALLEY HEALTH CARE INC.
Entity Type:Organization
Organization Name:VALLEY HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROEDEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-434-0245
Mailing Address - Street 1:1010 BRIDGE BLVD SW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87105-3765
Mailing Address - Country:US
Mailing Address - Phone:505-873-4258
Mailing Address - Fax:505-873-4260
Practice Address - Street 1:1010 BRIDGE BLVD SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87105-3765
Practice Address - Country:US
Practice Address - Phone:505-873-4258
Practice Address - Fax:505-873-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center