Provider Demographics
NPI:1528054681
Name:VALLEY REGIONAL ENTERPRISES INC
Entity type:Organization
Organization Name:VALLEY REGIONAL ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-536-0551
Mailing Address - Street 1:220 CAMPUS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2896
Mailing Address - Country:US
Mailing Address - Phone:540-536-2348
Mailing Address - Fax:
Practice Address - Street 1:190 PROSPERITY DR STE 4
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-5401
Practice Address - Country:US
Practice Address - Phone:540-536-2348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
1385406OtherUMWA
2122943OtherMAMSI
WV0144683001Medicaid
080196300OtherFED BLACK LUNG
094401OtherBS TRIGO MEDIGAP
VA9014403Medicaid
WV0144683000Medicaid
541566064OtherCHIR
AM8453410101OtherBS MARYLAND
000223076OtherBS M T STATE
MD324118100Medicaid
=========001OtherWV COMP
094401OtherBS TRIGO MEDIGAP
AM8453410101OtherBS MARYLAND
MD324118100Medicaid
VA590004610Medicare PIN
VA590000074Medicare PIN
590000074Medicare ID - Type UnspecifiedMCARE HMO OPTIMA/SENTARA
WV0144683000Medicaid
WV590011828Medicare PIN