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Organization

VALLEY HEALTH SYSTEMS INC

Active
Other names
Valley Health Southside YHC
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
723 9TH AVE, HUNTINGTON, WV 25701
(304) 529-0645
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
WV
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
WV
363L00000X
Nurse Practitioner
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0035100000
WV
05
0998729
OH
05
65916702
KY
05
6591671000
KY
01
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
02/21/2006
Last updated
03/31/2022
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