Provider Demographics
NPI:1518181221
Name:VALLEYCARE
Entity Type:Organization
Organization Name:VALLEYCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ATHLETIC TRAINER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:EGGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, ATC
Authorized Official - Phone:925-373-4019
Mailing Address - Street 1:2586 REGENT RD
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-6539
Mailing Address - Country:US
Mailing Address - Phone:925-447-1919
Mailing Address - Fax:
Practice Address - Street 1:2586 REGENT RD
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-6539
Practice Address - Country:US
Practice Address - Phone:925-447-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital