| Valley Patient Care Inc | |
|
315 W 10th St Front Royal VA 22630-2807 | |
| (540) 252-0033 | |
| (888) 814-0934 |
| Full Name | Valley Patient Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315 W 10th St, Front Royal, Virginia |
| Authorized Official Name and Position | Abdullah Sadiq (OWNER/AUTHORISED OFFICIAL) |
| Authorized Official Contact | 5402520033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Patient Care Inc 315 W 10th St Front Royal VA 22630-2807 Ph: (540) 252-0033 | Valley Patient Care Inc 315 W 10th St Front Royal VA 22630-2807 Ph: (540) 252-0033 |
| NPI Number | 1790368553 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 0042629842 |
|---|---|
| Medicare Enrollment ID | O20210507000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790368553 | NPI | - | NPPES |
| 010146682 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20050412000226 |
| Provider Name | Pierre Mawesa Diomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619521051 PECOS PAC ID: 7517297864 Enrollment ID: I20210614002435 |
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