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Organization

VALLEY HEALTH SYSTEMS INC

Active
Other names
Grant Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD WEINBERGER (CFO)
(304) 525-3334
Entity
Organization

Contact information

Practice address
308 E MAIN ST, MILTON, WV 25541-1508
(304) 743-4444
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10966
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0022935000
WV
05
2767699
OH
01
614764900
BLACK LUNG
WV
01
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
01/19/2006
Last updated
12/07/2011
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