Healthcare Provider Details

I. General information

NPI: 1548539315
Provider Name (Legal Business Name): VALLEY HEALTH SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2011
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MARION PIKE
COAL GROVE OH
45638-3165
US

IV. Provider business mailing address

2585 3RD AVE
HUNTINGTON WV
25703-1642
US

V. Phone/Fax

Practice location:
  • Phone: 740-532-1188
  • Fax: 740-532-1183
Mailing address:
  • Phone: 304-525-3334
  • Fax: 304-525-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34004625
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. RICHARD WEINBERGER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 304-525-3334