VALLEY HEALTH SYSTEMS INC NPI 1720333461

NPI Information

NPI: 1720333461
Provider Name: VALLEY HEALTH SYSTEMS INC

Doing Business As: VALLEY HEALTH EAST HUNTINGTON HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
85 DONOHOE DR
HUNTINGTON, WV
ZIP 25705
Phone: (304) 399-3310
Get Directions

VALLEY HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Huntington, WV. VALLEY HEALTH SYSTEMS INC NPI is 1720333461. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Health East Huntington Health Center.

The provider's business location address is:

85 DONOHOE DR
HUNTINGTON, WV
ZIP 25705-887
Phone: (304) 399-3310
Fax: (304) 523-5416

The provider's authorized official is Mary-beth Brubeck .
The authorized official title is Vp Of Finance, Cfo and has the following contact phone number (304) 525-3334.

The CLIA number assigned to this NPI record is 51D0235100 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2012 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101Y00000X	Counselor			No
2	103T00000X	Psychologist			No
3	122300000X	Dentist		WEST VIRGINIA	No
4	152W00000X	Optometrist		WEST VIRGINIA	No
5	207Q00000X	Family Medicine			No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		Yes
7	363L00000X	Nurse Practitioner		WEST VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3810025314	MEDICAID	WEST VIRGINIA
2	0079937	MEDICAID	OHIO
3	0078061	MEDICAID	OHIO
4	7100222210	MEDICAID	KENTUCKY
5	7100235260	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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