Provider Demographics
NPI:1790368553
Name:VALLEY PATIENT CARE INC
Entity Type:Organization
Organization Name:VALLEY PATIENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORISED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SADIQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-252-0033
Mailing Address - Street 1:315 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2807
Mailing Address - Country:US
Mailing Address - Phone:540-252-0033
Mailing Address - Fax:
Practice Address - Street 1:315 W 10TH ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2807
Practice Address - Country:US
Practice Address - Phone:540-252-0033
Practice Address - Fax:888-814-0934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010146682Medicaid