Organization
VALLEY HEALTH SYSTEMS INC
Active
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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