Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Valley Health Coal Grove
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
205 MARION PIKE, COAL GROVE, OH 45638
(740) 532-1188
(740) 532-1183
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
OH
207V00000X
Obstetrics & Gynecology Physician
34004625
OH
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OH
363LF0000X
Family Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035230000
—
WV
05
—
0094868
—
OH
05
—
0998694
—
OH
05
—
7100087500
—
KY
Enumeration date
02/22/2006
Last updated
03/31/2022
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