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
2908 AUBURN RD, HUNTINGTON, WV 25704
(304) 781-5800
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
WV
122300000X
Dentist
3487
WV
207Q00000X
Family Medicine Physician
19741
WV
207V00000X
Obstetrics & Gynecology Physician
21985
WV
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905012000
—
WV
05
—
2456097
—
OH
01
—
297341902
BLACK LUNG
WV
05
—
61900841
—
KY
05
—
65916702
—
KY
05
—
6593995100
—
KY
01
—
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
02/22/2006
Last updated
03/31/2022
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