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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1306676150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HEALTH SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	4290 US ROUTE 60
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25705-2936
Country	:	US
Telephone Number	:	304-781-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	26489 HUNTINGTON RD
Second Line	:
City	:	APPLE GROVE
State	:	WV
Zip	:	25502-8008
Country	:	US
Telephone Number	:	304-675-5725
Fax Number	:

Authorized Official
Title or Position	:	VP OF FINANCE AND CFO
Name	:	MARY-BETH N. BRUBECK
Credential	:
Telephone Number	:	304-525-3334

Provider Enumeration Date	:	08/06/2024
Last Update Date	:	08/06/2024

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