Organization Active NPI

Valley Regional Enterprises, Inc

  • Urgent Care Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1669724928
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
0101057756 Issued in VA
Legal business name
VALLEY REGIONAL ENTERPRISES, INC
Practice address
97 Administrative Dr
Martinsburg, WV 25404-6378
Phone
(304) 350-3200
Fax
(304) 350-3201
NPI assigned
Oct 11, 2012
Organization subpart
Yes
Parent organization
VALLEY REGIONAL ENTERPRISES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
David E Wiseman
Title
Division Controller
Phone
(540) 536-4310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 0101057756 VA Primary

Addresses

Primary practice location

97 Administrative Dr
Martinsburg, WV 25404-6378

Mailing address

97 Administrative Dr
Martinsburg, WV 25404-6378
Phone (304) 350-3200

Other names 1

  • Valley Health Urgent Care Doing business as

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
51D2048870Valley Health Urgent Care - Martinsburg97 Administrative Drive, Martinsburg, WV 25404Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory
Part of
Valley Pharmacy PXS

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1669724928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ADMINISTRATIVE DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046378",
            "telephone_number": "304-350-3200",
            "fax_number": "304-350-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ADMINISTRATIVE DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046378",
            "telephone_number": "304-350-3200",
            "fax_number": "304-350-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY REGIONAL ENTERPRISES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY REGIONAL ENTERPRISES, INC",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIVISION CONTROLLER",
        "authorized_official_telephone_number": "540-536-4310"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": "0101057756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.