NPIMap

Organization Active NPI

Valley Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Mill Creek, WV
National Provider Identifier
1245660802
Registry record updated Feb 1, 2024
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
Practice address
10007 Seneca Trail
Mill Creek, WV 26280
Phone
(304) 335-2050
NPI assigned
Nov 19, 2013
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Jordan Godwin
Title
Ceo
Phone
(304) 335-2050

Specialties & licenses 1

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

Addresses

Primary practice location

10007 Seneca Trail
Mill Creek, WV 26280

Mailing address

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

Other practice location 1

HWY 219 250 South
Mill Creek, WV 26280
Phone (304) 335-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050902000096 WV Part B Supplier - Public Health/Welfare Agency 6305878034 Receives reassigned benefits from 35 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elkins, WV; Mill Creek, WV
O20150312002227 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Mill Creek, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245660802. Details of each certification follow.

Federally qualified health center certification: CCN 511072

Legal name
VALLEY HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 28, 2015
Last certification
Jan 28, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1989 in WV
Enrollment address
Hwy 219 250 South
Mill Creek, WV 26280

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley Health Care Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Ownership & related parties

All disclosed owners & managing parties 15

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 Officer Jan 22, 2008
Kathy Leombruno Individual Corporate Director Aug 24, 2025
Amanda Jones Individual W-2 Managing Employee Nov 13, 2023
Chad Arbogast Individual Corporate Director May 31, 2021
John Carte Individual Corporate Director May 31, 2022
Jonathan Kyle Individual Corporate Director May 13, 2013
E Mark Doak Individual Corporate Director Jul 29, 2025
Jeff Kiess Individual Corporate Director Jun 27, 2023
Jordan Godwin Individual Corporate Officer Jul 9, 2018
Amanda Leach Individual Corporate Director Sep 24, 2024
Sandy Burky Individual Corporate Director Jul 25, 2015
Michael Parker Individual Corporate Director Sep 24, 2024
Teena Wallace Individual Corporate Director Apr 28, 2025
Gregory Johnson Individual Corporate Director Jun 1, 2024
Kathy Stalnaker Individual Corporate Director Aug 24, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1245660802",
    "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": "10007 SENECA TRAIL",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "26280",
            "telephone_number": "304-335-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HWY 219 250 South",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WV",
            "postal_code": "26280",
            "country_code": "US",
            "telephone_number": "304-335-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2024-02-01",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "JORDAN",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WV

Sources for this page

Verify at the official NPI Registry.