Organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HASSING (CEO)
(304) 263-4999
Entity
Organization
Contact information
Practice address
106 SAND MINE RD STE 7, BERKELEY SPRINGS, WV 25411-7457
(304) 263-7023
(304) 264-0508
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(304) 263-4999
(304) 263-0984
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008353
—
WV
Enumeration date
07/11/2007
Last updated
07/30/2020
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