Organization
VALLEY HEALTH SYSTEMS, INC
Active
Organization
VALLEY HEALTH SYSTEMS, INC
Active
Other names
Valley Health- Kanawha City
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-BETH BRUBECK (VP FINANCE, CFO)
(304) 525-3334
Entity
Organization
Contact information
Practice address
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304-2541
(304) 925-0392
(304) 925-0396
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
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/04/2020
Last updated
12/23/2024
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