Organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HASSING (CEO)
(304) 263-4999
Entity
Organization
Contact information
Practice address
99 TAVERN RD, MARTINSBURG, WV 25401-2890
(304) 263-4999
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-2890
(304) 263-4999
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035217000
—
WV
Enumeration date
05/24/2005
Last updated
07/21/2022
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