Organization Active NPI

Valley Health Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Winchester, VA
National Provider Identifier
1104349489
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY HEALTH SURGERY CENTER, LLC
Practice address
174 Botanical Boulevard
Winchester, VA 22603
Phone
(540) 536-5900
Fax
(540) 536-5915
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Elizabeth Welch-Flores, MHSA, MBA
Title
Business Development Manager
Phone
(540) 536-2504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

174 Botanical Boulevard
Winchester, VA 22603

Mailing address

220 Campus Blvd Ste 420
Winchester, VA 22601-2889
Phone (540) 536-2504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116002077 VA Part B Supplier - Ambulatory Surgical Center 9234495730 Practice locations: Winchester, VA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Valley Health Ambulatory Surgery CenterCCN 49C0001067
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2135459Valley Health Surgery Center, LLC174 Botanical Boulevard, Winchester, VA 22603Certificate of waiverAug 21, 2027

National Provider Directory

National Provider Directory

Locations

220 Campus Blvd
Ste 420
Winchester, VA 22601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1104349489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 420",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012889",
            "telephone_number": "540-536-2504",
            "fax_number": "540-536-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 BOTANICAL BOULEVARD",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22603",
            "telephone_number": "540-536-5900",
            "fax_number": "540-536-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "WELCH-FLORES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BUSINESS DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "540-536-2504",
        "authorized_official_credential": "MHSA, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.