Organization
SHENANDOAH VALLEY MEDICAL SYSTEM,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HASSING (CEO)
(304) 263-4999
Entity
Organization
Contact information
Practice address
44 TRIFECTA PL STE 205, CHARLES TOWN, WV 25414-5720
(304) 728-3716
(304) 278-3740
Mailing address
PO BOX 1146, MARTINSBURG, WV 25402-1146
(304) 263-4999
(304) 263-0984
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008360
—
WV
Enumeration date
07/13/2007
Last updated
04/11/2025
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