Provider Type Icon

VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER INC. NPI 1861476350


NPI Information

NPI: 1861476350
Provider Name: VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, INC.

Doing Business As: VALLEY HEALTHCARE SYSTEM

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 51D2299900

Address:
301 SCOTT AVE
MORGANTOWN, WV
ZIP 26508
Phone: (304) 296-1731
Get Directions

VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, INC. is a mental health counselor in Morgantown, WV. VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER, INC. NPI is 1861476350. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Healthcare System.

The provider's business location address is:

301 SCOTT AVE
MORGANTOWN, WV
ZIP 26508-804
Phone: (304) 296-1731
Fax: (304) 225-2288

The provider's authorized official is Cheryl L Perone .
The authorized official title is Ceo and has the following contact phone number (304) 296-1731.

The CLIA number assigned to this NPI record is 51D2299900 - other - behavioral health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 4/11/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health21WEST VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13810012355MEDICAIDWEST VIRGINIA
29156343MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAFAIRMONT
39156342MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAMORGANTOWN
49156344MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAGRAFTON
59156345MEDICARE ID-TYPE UNSPECIFIEDWEST VIRGINIAKINGWOOD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.