# VALLEY PHYSICIAN ENTERPRISE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Health Winchester Family Practice Rutherford Crossing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255842506
- **Authorized official:** RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (540) 536-0103

## Contact information

- **Practice address:** 160 MERCHANT STREET, STE 100, WINCHESTER, VA 22603
- **Practice address phone:** (540) 536-5400
- **Mailing address:** 220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
- **Mailing address phone:** (540) 536-0231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 10/13/2017