Organization
VALLEY HEALTH SYSTEMS, INC
Active
Other names
Valley Health SC Peds - Charleston Ste 110
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-BETH N. BRUBECK (CHIEF FINANCIAL OFFICER)
(304) 525-3334
Entity
Organization
Contact information
Practice address
830 PENNSYLVANIA AVE STE 110, CHARLESTON, WV 25302-3389
(304) 982-7031
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 781-5159
(304) 523-8115
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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