Provider Demographics
NPI:1639203888
Name:VALLEY MEDICAL GROUP, P.C.
Entity Type:Organization
Organization Name:VALLEY MEDICAL GROUP, P.C.
Other - Org Name:VALLEY MEDICAL GROUP AMBULATORY SURGERY & PROCEDURES CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:FEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:413-774-6301
Mailing Address - Street 1:PO BOX 5700
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-5700
Mailing Address - Country:US
Mailing Address - Phone:866-431-4077
Mailing Address - Fax:413-774-7448
Practice Address - Street 1:31 HALL DR
Practice Address - Street 2:AMHERST MEDICAL CENTER, STE.1
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2751
Practice Address - Country:US
Practice Address - Phone:413-256-8561
Practice Address - Fax:413-256-4321
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY MEDICAL GROUP, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-16
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA699908OtherTUFTS HEALTH PLAN
MA3366778OtherAETNA USHEALTHCARE
MA904268OtherHARVARD PILGRIM HEALTH CA
MA655416OtherCONNECTICARE, INC.
MA29488OtherHEALTH NEW ENGLAND
MAM88030OtherBLUE CROSS BLUE SHIELD
MA=========OtherCIGNA HEALTH PLAN
MA699908OtherTUFTS HEALTH PLAN
MA=========OtherUNITED HEALTHCARE
MA=========OtherCIGNA HEALTH PLAN