Healthcare Provider Details

I. General information

NPI: 1316728793
Provider Name (Legal Business Name): VALLEY HEALTH SYSTEMS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 US ROUTE 60
HUNTINGTON WV
25705-2936
US

IV. Provider business mailing address

PO BOX 1680
HUNTINGTON WV
25717-1680
US

V. Phone/Fax

Practice location:
  • Phone: 304-675-5726
  • Fax: 304-675-5727
Mailing address:
  • Phone: 304-525-3334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARY-BETH N. BRUBECK
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 304-525-3334