Organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Active
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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