NPIMap

Organization Active NPI

Valley Health Care, Inc.

Doing business as VHC North School SBHC

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
National Provider Identifier
1053760868
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH CARE, INC.
Doing business as
VHC North School SBHC
Practice address
RT 2 Box 320
Elkins, WV 26241
Phone
(304) 335-2050
NPI assigned
Jun 13, 2016
Last updated
Oct 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandra J. Elza
Title
Ceo
Phone
(304) 335-2050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

RT 2 Box 320
Elkins, WV 26241

Mailing address

PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 335-2050

Other names 1

  • VHC North School SBHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160914000275 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Elkins, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053760868. Details of each certification follow.

Federally qualified health center certification: CCN 511108

Legal name
VALLEY HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 1, 2016
Last certification
Aug 1, 2016
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
RR 2 Box 320
Elkins, WV 26241-9629

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

National Provider Directory

National Provider Directory
Part of
Rex Hospital Inc

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Belinda Robinson Individual Corporate OfficerCfo Dec 1, 1995
Adam W Casseday Individual W-2 Managing Employee May 1, 2006
Michelle Barnett Individual Corporate Director Jul 9, 2012
Jonathan Kyle Individual Corporate Director Oct 5, 2012
William Hartman Individual Corporate Director Jan 13, 2014
Jordan Godwin Individual Corporate Officer Jul 9, 2018
Debbie Johnson Individual Corporate Director Apr 8, 2013
Sandy Burky Individual Corporate Director Jul 27, 2015
Frank Cuda Individual Corporate Director Jun 1, 2015
John Kabler Individual Corporate Director Mar 10, 2011
Diane Hull Individual Corporate Director Oct 27, 2014
Willy Saucerman Individual Corporate Director Jul 25, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1053760868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262800247",
            "telephone_number": "304-335-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 2 BOX 320",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-335-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH CARE, INC",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "ELZA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-335-2050"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VHC North School SBHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.