Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Valley Health Stepptown
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
3 ADENA DR, KERMIT, WV 25674-8063
(304) 393-4090
(304) 393-4091
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
19741
WV
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
WV
363L00000X
Nurse Practitioner
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035275000
—
WV
05
—
6592630500
—
KY
05
—
7100226540
—
KY
01
—
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
02/23/2006
Last updated
03/31/2022
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