Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Valley Health Harts
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
22 FLEMING DR, HARTS, WV 25524
(304) 855-4595
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15818
WV
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035079000
—
WV
01
—
614938701
BLACK LUNG
WV
01
—
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
01/19/2006
Last updated
03/31/2022
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