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NPI Code Detail

MEDICARE: VALLEY HEALTH SYSTEMS, INC.

MEDICARE: VALLEY HEALTH SYSTEMS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1376276931
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY HEALTH SYSTEMS, INC.
Provider Business Mailing Address
First Line : PO BOX 1680
Second Line :
City : HUNTINGTON
State : WV
Zip : 25717-1680
Country : US
Telephone Number : 304-781-5159
Fax Number : 304-523-8115
Provider Business Practice Location Address
First Line : 1 HARBOUR WAY
Second Line :
City : MILTON
State : WV
Zip : 25541-1545
Country : US
Telephone Number : 304-781-3600
Fax Number : 304-390-0003
Authorized Official
Title or Position : VP OF FINANCE / CFO
Name : MARY-BETH N. BRUBECK
Credential :
Telephone Number : 304-525-3334
Provider Enumeration Date : 07/01/2022
Last Update Date : 07/01/2022

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