VALLEY HEALTH SYSTEMS INC NPI 1083694756

NPI Information

NPI: 1083694756
Provider Name: VALLEY HEALTH SYSTEMS INC

Doing Business As: VALLEY HEALTH FORT GAY

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
71 WAYNE ST
FORT GAY, WV
ZIP 25514
Phone: (304) 648-5544
Get Directions

VALLEY HEALTH SYSTEMS INC is a federally qualified health center (fqhc) clinic center in Fort Gay, WV. VALLEY HEALTH SYSTEMS INC NPI is 1083694756. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Health Fort Gay.

The provider's business location address is:

71 WAYNE ST
FORT GAY, WV
ZIP 25514
Phone: (304) 648-5544
Fax: (304) 648-5989

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

The enumeration date for this NPI number is 1/19/2006 and was last updated on 3/31/2022.

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 Number	License State	Primary
1	101Y00000X	Counselor				No
2	103T00000X	Psychologist			WEST VIRGINIA	No
3	122300000X	Dentist		2768	WEST VIRGINIA	No
4	207Q00000X	Family Medicine		1744	WEST VIRGINIA	No
5	363A00000X	Physician Assistant			WEST VIRGINIA	No
6	363LF0000X	Nurse Practitioner	Family		WEST VIRGINIA	No
7	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		WEST VIRGINIA	Yes

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	Other Provider Identifier Issuer
1	0035071000	MEDICAID	WEST VIRGINIA
2	6593981100	MEDICAID	KENTUCKY
3	CJ2698	OTHER	WEST VIRGINIA	RR MEDICARE GROUP
4	61900841	MEDICAID	KENTUCKY
5	65916702	MEDICAID	KENTUCKY
6	614938702	OTHER	WEST VIRGINIA	BLACK LUNG
7	2752543	MEDICAID	OHIO

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: 5/5/2024

NPI Synchronization or Removal

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