Organization
VALLEY HEALTH SYSTEMS, INC.
Active
Other names
Valley Health Otolaryngology
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
3 STONECREST DR, HUNTINGTON, WV 25701
(304) 522-6388
(304) 522-8040
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
WV
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
363LF0000X
Family Nurse Practitioner
—
WV
Other
Enumeration date
05/04/2016
Last updated
03/31/2022
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