Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Southside Elementary Health Center
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
930 2ND STREET, HUNTINGTON, WV 25701
(304) 528-5168
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Enumeration date
09/23/2010
Last updated
03/31/2022
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