Organization
VALLEY REGIONAL MEDICAL SVS.
Active
Parent organization
VALLEY REGIONAL MEDICAL SERVICES CORP.
Other names
Valley Regional Support Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
VALLEY REGIONAL MEDICAL SERVICES CORP.
Authorized official
MARTHA M. MCDRURY SVP COO (SENIOR VICE PRESIDENT CHIEF OPERATI)
(978) 687-0156
Entity
Organization
Contact information
Practice address
60 EAST ST, SUITE 3300, METHUEN, MA 01844-4500
(978) 685-9440
(978) 686-3093
Mailing address
PO BOX 71, C/O KDC MANAGEMENT, TEWKSBURY, MA 01876-0071
(978) 657-5866
(978) 657-5877
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
49865
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029641
NEIGHBORHOOD HEALTH PLAN
MA
01
—
01Y005533MA01
ANTHEM
NH
01
—
2441758
AETNA
MA
01
—
30008466
MEDICAID OF NH
NH
01
—
51762
FALLON
MA
01
—
611003
TUFTS
MA
01
—
978403
NETWORK
MA
05
—
9787143
—
MA
01
—
M17489
BC/BS GROUP NUMBER
MA
Enumeration date
09/01/2006
Last updated
03/12/2009
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