Organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Active
Other names
Healthy Smiles Oral Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HASSING (CEO)
(304) 596-2610
Entity
Organization
Contact information
Practice address
58 WARM SPRINGS AVE, MARTINSBURG, WV 25404-3800
(304) 263-4999
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(304) 263-4999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/04/2009
Last updated
09/29/2022
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