Organization
VALLEY HEALTH SYSTEMS, INC.
Active
Other names
Valley Health Lakeside Elementary Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD WEINBERGER (CHIEF FINANCIAL OFFICER)
(304) 525-3334
Entity
Organization
Contact information
Practice address
2550 US ROUTE 60, HURRICANE, WV 25526-9436
(304) 562-3630
(304) 697-2086
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 525-3334
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910000305
—
WV
Enumeration date
03/30/2012
Last updated
01/12/2015
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