Active NPI
Valley Regional Enterprises, Inc
- Urgent Care Clinic/Center
- Martinsburg, WV
National Provider Identifier
1669724928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 0101057756
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2048870 | Valley Health Urgent Care - Martinsburg | Certificate of waiver | Apr 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.