VALLEY HEALTH CLINIC INC (NPI# 1912065863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912065863 |
| Entity Type | Organization |
| Organization Name | VALLEY HEALTH CLINIC INC |
| Practice Address |
8609 Sudley Rd Suite 105 Manassas VA 20110-4500 |
| Mailing Address |
Po Box 27 Sterling VA 20167-0027 |
| Practice Telephone | 7033938883 |
| Practice Fax Number | 7036864240 |
| Mailing Telephone | 7033938883 |
| Mailing Fax Number | 7036864240 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-02-03 |
| Authorized Official Name | ABDULLAH AL FAROOQUE (PRESIDENT) |
| Authorized Official Telephone | 7033938883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 0101227765 | VA | Other Service Providers |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1912065863 | 05 | |
| VA | 005867568 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 46169 Westlake Dr Ste 130, Sterling, VA 201655875 | 7033938883 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Valley Health Clinic Inc. | Po Box-27, Sterling, Virginia 20167-0027 |
| Street Address |
8609 SUDLEY RD SUITE 105 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467409961 | Abdullah Al Farooque | Internal Medicine | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-4500 | 2006-05-28 |
| 1144865999 | Eleny Tadese Gebre | Nurse Practitioner | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2019-11-14 |
| 1790226942 | Cory Lucas | Nurse Practitioner | 8609 Sudley Rd, Ste 105, Manassas, VA 20110-8321 | 2017-03-20 |
| 1427407527 | Sudley Pharmacy | Durable Medical Equipment & Medical Supplies | 8609 Sudley Rd, Manassas, VA 20110-8321 | 2016-06-09 |
| 1306292552 | Lisa Anne Cornelius | Social Worker | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2016-05-06 |
| 1982963328 | Phoenix Counseling Services | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2012-05-04 |
| 1093006157 | Physiotherapy Associates Inc | Clinic/Center | 8609 Sudley Rd, Suite 105, Manassas, VA 20110-8321 | 2011-04-25 |
| 1346495850 | Kevin C Mendes | Dentist | 8609 Sudley Rd, Suite #102, Manassas, VA 20110-8321 | 2008-11-25 |
| 1396827036 | Prince William Hospital | Home Health | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-10-20 |
| 1275549321 | Roselle Stark | Counselor | 8609 Sudley Rd, Suite 201, Manassas, VA 20110-8321 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1821567652 | Balanced Life Chiropractic LLC | Clinic/Center | 9028 Prince William St Ste 2a, Manassas, VA 20110-5664 | 2018-11-21 |
| 1700129194 | Axiom Health Corporation | Clinic/Center | 9707 Signal Ct, Manassas, VA 20111-2505 | 2013-04-03 |
| 1598054793 | Comprehensive Occupational Medical Associates of Connecticut PC | Clinic/Center | 9600 Godwin Dr, Manassas, VA 20110-4162 | 2011-03-29 |
| 1972892065 | Manassas Primary Care, LLC | Clinic/Center | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2011-03-29 |
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| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.