Provider Demographics
NPI:1780675538
Name:VALLEY REGIONAL MEDICAL SERVICES
Entity Type:Organization
Organization Name:VALLEY REGIONAL MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-687-0156
Mailing Address - Street 1:VALLEY REGIONAL MEDICAL SERVICES
Mailing Address - Street 2:P.O. BOX
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0001
Mailing Address - Country:US
Mailing Address - Phone:978-687-0156
Mailing Address - Fax:978-989-0019
Practice Address - Street 1:VALLEY REGIONAL MEDICAL SERVICES
Practice Address - Street 2:70 EAST ST.
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:02241-4060
Practice Address - Country:US
Practice Address - Phone:978-687-0156
Practice Address - Fax:978-989-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9779086Medicaid
MAM20253Medicare ID - Type UnspecifiedMEDICARE