# VALLEY PHYSICIAN ENTERPRISE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALLEY PHYSICIAN ENTERPRISE, INC.
- **Other names:** Valley Health Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700562634
- **Legal business name:** VALLEY PHYSICIAN ENTERPRISE, INC.
- **Authorized official:** RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (540) 536-5100

## Contact information

- **Practice address:** 115 SOUTH CHURCH STREET, BERRYVILLE, VA 22611
- **Practice address phone:** (540) 955-4811
- **Practice address fax:** (540) 955-0976
- **Mailing address:** 220 CAMPUS BLVD STE 210, WINCHESTER, VA 22601
- **Mailing address phone:** (540) 536-5100

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2023
- **Last updated:** 06/26/2023