MEDICARE: VALLEY HEALTH CARE, 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	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1699407270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HEALTH CARE, INC

Provider Business Mailing Address
First Line	:	PO BOX 247
Second Line	:
City	:	MILL CREEK
State	:	WV
Zip	:	26280-0247
Country	:	US
Telephone Number	:	304-335-2050
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 CHENOWETH CREEK RD
Second Line	:
City	:	ELKINS
State	:	WV
Zip	:	26241-9237
Country	:	US
Telephone Number	:	304-636-0133
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JORDAN A. GODWIN
Credential	:
Telephone Number	:	304-335-2050

Provider Enumeration Date	:	06/30/2022
Last Update Date	:	01/06/2026

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