Organization
VALLEY HEALTH SYSTEMS, INC.
Active
Other names
Valley Health Teays Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-BETH BRUBECK (CFO)
(304) 525-3334
Entity
Organization
Contact information
Practice address
111 GREAT TEAYS BLVD, SCOTT DEPOT, WV 25560-9548
(304) 757-8459
(304) 525-3338
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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