Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Valley Health Upper Kanawha
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WEINBERGER (CFO)
(304) 525-3334
Entity
Organization
Contact information
Practice address
408 ALEXANDER STREET, CEDAR GROVE, WV 25039
(304) 595-1770
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3400
WV
207Q00000X
Family Medicine Physician
11412
WV
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022971001
—
WV
05
—
0264006
—
OH
05
—
13029802
—
KY
01
—
614938703
BLACK LUNG
WV
01
—
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
02/23/2006
Last updated
08/02/2018
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