Organization
VALLEY HEALTH CARE, INC.
Active
Other names
FAMILY PRACTICE COMMUNITY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. G. MICHAEL HINCHMAN MBA (CEO)
(304) 335-2050
Entity
Organization
Contact information
Practice address
GORMAN AVE. AND 8TH ST., ELKINS, WV 26241-3394
(304) 335-2050
Mailing address
PO BOX 247, MILL CREEK, WV 26280-0247
(304) 335-2050
(304) 335-6158
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000394653
BC/BS MEDICARE FQHC
WV
01
—
05-5-00344
WV STATE TAX BUS. LIC
WV
01
—
1025217
BRICKSTREET WORKERS COMP
WV
05
—
3810006663
—
WV
01
—
420005
VACCINE FOR CHILDREN
WV
01
—
51D1051732
CLIA
WV
01
—
5657280002
HEALTH NOW DMERC/FQHC
WV
01
—
CH3574
RAILROAD MEDICARE
WV
Enumeration date
03/14/2006
Last updated
03/03/2010
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