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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1790030310
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	:	304-697-1396
Fax Number	:	304-697-2086

Provider Business Practice Location Address
First Line	:	314 GOFF MOUNTAIN RD
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25313-6602
Country	:	US
Telephone Number	:	304-204-2091
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	RICHARD WEINBERGER
Credential	:
Telephone Number	:	304-525-3334

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	07/19/2012

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Directions to “VALLEY HEALTH SYSTEMS INC ” Practice Location

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