Valley Health Systems Inc
Organization Active NPI General Practice Physician · Huntington, WV
NPI 1104008481 · NPPES record last updated Nov 10, 2010
Key facts
- NPI
- 1104008481
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 22055 (WV)
- Legal business name
- VALLEY HEALTH SYSTEMS INC
- Practice address
- 2585 3Rd Ave
Huntington, WV 25703-1642 - Phone
- (304) 697-1396
- Fax
- (304) 697-2086
- NPI assigned
- Nov 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard Weinberger
- Title
- Cfo
- Phone
- (304) 525-3334
Corporate family (same tax ID) 21
Practitioners 2
-
Edward Moran Jr., M.D.
-
Aaron L. Scaife, M.D.
National Provider Directory
- Tax ID family
- Valley Health Systems
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 22055 | WV | Yes |
Addresses
Primary practice location
2585 3Rd Ave
Huntington, WV 25703-1642
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297341902 | Other | WV | BLACK LUNG |
| 614938700 | Other | WV | BLACK LUNG |
| 000391352 | Other | WV | FREEDOM BLUE IND. LAB |
| 010 | Other | WV | TRICARE |
| 614938703 | Other | WV | BLACK LUNG |
| 001709560 | Other | WV | MT. STATE BC/BS |
| 0035071003 | Medicaid | WV | |
| 297341903 | Other | WV | BLACK LUNG |
| 007 | Other | WV | TRICARE |
| 614938701 | Other | WV | BLACK LUNG |
| 614938702 | Other | WV | BLACK LUNG |
| 001709562 | Other | WV | MT. STATE BC/BS |
| 001773424 | Other | WV | MT. STATE BC/BS |
| 614764900 | Other | WV | BLACK LUNG |
| 001709561 | Other | WV | MT. STATE BC/BS |
| 297341901 | Other | WV | BLACK LUNG |
| CJ2698 | Other | WV | RR MEDICARE |
NPI Registry JSON
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289347200000",
"number": "1104008481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1680",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257171680",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2585 3RD AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257031642",
"telephone_number": "304-697-1396",
"fax_number": "304-697-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HEALTH SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-29",
"last_updated": "2010-11-10",
"status": "A",
"authorized_official_last_name": "WEINBERGER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "304-525-3334"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "WV",
"license": "22055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "297341902",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "614938700",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM BLUE IND. LAB",
"identifier": "000391352",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "010",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "614938703",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC/BS",
"identifier": "001709560",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0035071003",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "297341903",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "007",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "614938701",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "614938702",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC/BS",
"identifier": "001709562",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC/BS",
"identifier": "001773424",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "614764900",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT. STATE BC/BS",
"identifier": "001709561",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "297341901",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CJ2698",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
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All providers in Huntington, WV · General Practice Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.