Organization
VALLEY HEALTH SYSTEMS INC
Active
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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