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Organization

VALLEY HEALTH SYSTEMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY-BETH BRUBECK (VICE PRESIDENT OF FINANCE / CFO)
(304) 525-3334
Entity
Organization

Contact information

Practice address
307 5TH AVE, HUNTINGTON, WV 25702
(304) 525-0573
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000178751
ANTHEM
WV
01
000391352
MT. STATE BC/BS
WV
01
00058430
RR MEDICARE
WV
05
0039941000
WV
01
016
TRICARE
WV
05
3790386100
KY
01
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
02/23/2006
Last updated
03/31/2022
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