| NPI | 1083694756 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-01-19 |
| Last Updated | 2022-03-31 |
| Authorized Official | Mary-Beth Brubeck Vice President of Finance / CFO Phone: 3045253334 |
| Mailing Address | 2585 3rd Ave Huntington, WV 25703-1642 United States Phone: (304) 697-1396 | Fax: (304) 697-2086 📍 View Map |
| Primary Practice Address | 71 Wayne St Fort Gay, WV 25514 United States Phone: (304) 648-5544 | Fax: (304) 648-5989 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WV | 0035071000 | — |
| MEDICAID | OH | 2752543 | — |
| Other (non-Medicare) | WV | 614938702 | Black Lung |
| MEDICAID | KY | 61900841 | — |
| MEDICAID | KY | 65916702 | — |
| MEDICAID | KY | 6593981100 | — |
| Other (non-Medicare) | WV | CJ2698 | RR Medicare Group |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101Y00000X – Counselor | — | — |
| No | 103T00000X – Psychologist | WV | — |
| No | 122300000X – Dentist | WV | 2768 |
| No | 207Q00000X – Family Medicine | WV | 1744 |
| No | 363A00000X – Physician Assistant | WV | — |
| No | 363LF0000X – Nurse Practitioner, Family | WV | — |
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | WV | — |
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About NPI 1083694756
Valley Health Systems Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1083694756. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Fort Gay, WV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083694756?
NPI 1083694756 belongs to Valley Health Systems Inc, a Clinic/Center, Federally Qualified Health Center (FQHC) in Fort Gay, WV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083694756 active?
The current status of NPI 1083694756 in the NPPES registry is Active. The record was last updated on 2022-03-31.
What specialty is NPI 1083694756?
NPI 1083694756 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083694756?
You can verify NPI 1083694756 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083694756?
The primary practice address on file for NPI 1083694756 is 71 Wayne St, Fort Gay, WV 25514. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083694756 issued?
NPI 1083694756 was first issued (enumerated) on 2006-01-19. The NPPES record was last updated on 2022-03-31.
Practice Location Map
Valley Health Systems Inc is located at 71 Wayne St, Fort Gay, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Valley Health Systems Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083694756. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist | 2768 | WV |
| Family Medicine | 1744 | WV |