Organization
VALLEY HEALTH SYSTEMS INC
Active
Other names
Carl Johnson Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WEINBERGER (CFO)
(304) 525-3334
Entity
Organization
Contact information
Practice address
307 5TH AVE, HUNTINGTON, WV 25702-1815
(304) 529-4734
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20454
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035068000
—
WV
05
—
0998756
—
OH
01
—
297341901
BLACK LUNG
WV
05
—
6591667800
—
KY
05
—
65916702
—
KY
01
—
CJ2698
RR MEDICARE GROUP
WV
Enumeration date
01/19/2006
Last updated
05/18/2011
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