Provider Demographics
NPI:1811372576
Name:VALLEY PHYSICIAN ENTERPRISE INC
Entity Type:Organization
Organization Name:VALLEY PHYSICIAN ENTERPRISE INC
Other - Org Name:VALLEY HEALTH IMAGING AND DIAGNOSTIC CENTER / NEW MARKET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:FEIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-536-0231
Mailing Address - Street 1:9166 N CONGRESS ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NEW MARKET
Mailing Address - State:VA
Mailing Address - Zip Code:22844-9422
Mailing Address - Country:US
Mailing Address - Phone:540-459-1515
Mailing Address - Fax:540-459-1519
Practice Address - Street 1:9166 N CONGRESS ST
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW MARKET
Practice Address - State:VA
Practice Address - Zip Code:22844-9422
Practice Address - Country:US
Practice Address - Phone:540-459-1515
Practice Address - Fax:540-459-1519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAG0703261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology