Provider Demographics
NPI:1770730350
Name:VALLEY PHYSICIAN ENTERPRISE, INC
Entity type:Organization
Organization Name:VALLEY PHYSICIAN ENTERPRISE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYS SERV DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BAMBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-636-0289
Mailing Address - Street 1:136 LINDEN DR
Mailing Address - Street 2:STE. 104
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6900
Mailing Address - Country:US
Mailing Address - Phone:540-678-3588
Mailing Address - Fax:
Practice Address - Street 1:842 N SHENANDOAH AVE
Practice Address - Street 2:STE. B
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3543
Practice Address - Country:US
Practice Address - Phone:540-636-0289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY PHYSICIAN ENTERPRISE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty