# VALLEY PHYSICIAN ENTERPRISE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VALLEY HEALTH SYSTEM
- **Other names:** Valley Health Primary Care, Valley Health Winchester Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922543677
- **Legal business name:** VALLEY HEALTH SYSTEM
- **Authorized official:** RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (540) 536-0103

## Contact information

- **Practice address:** 1440 AMHERST ST, WINCHESTER, VA 22601-3010
- **Practice address phone:** (540) 536-5400
- **Practice address fax:** (540) 536-5490
- **Mailing address:** 220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
- **Mailing address phone:** (540) 536-5100
- **Mailing address fax:** (540) 536-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 05/28/2024