Active NPI
Valley Health Systems Inc
- Federally Qualified Health Center (FQHC)
- Gallipolis Ferry, WV
National Provider Identifier
1194020677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- VALLEY HEALTH SYSTEMS INC
- Doing business as
- Valley Health Gallipolis Ferry
- Practice address
- 19867 Huntington Road
Gallipolis Ferry, WV 25515 - Phone
- (304) 675-5725
- Fax
- (304) 697-2086
- NPI assigned
- Jan 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mary-Beth Brubeck
- Title
- Vice President of Finance / Cfo
- Phone
- (304) 525-3334
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | WV | Primary |
Addresses
Primary practice location
19867 Huntington Road
Gallipolis Ferry, WV 25515
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Phone (304) 697-1396
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097214 | Medicaid | OH | |
| 0072821 | Medicaid | OH | |
| 3810021314 | Medicaid | WV |
Other names 1
- Valley Health Gallipolis Ferry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1194020677",
"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": "19867 HUNTINGTON ROAD",
"city": "GALLIPOLIS FERRY",
"state": "WV",
"postal_code": "25515",
"telephone_number": "304-675-5725",
"fax_number": "304-697-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HEALTH SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-14",
"last_updated": "2023-06-30",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "BRUBECK",
"authorized_official_first_name": "MARY-BETH",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE / CFO",
"authorized_official_telephone_number": "304-525-3334",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097214",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0072821",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810021314",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Health Gallipolis Ferry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Valley Health Gallipolis Ferry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gallipolis Ferry, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.