NPIMap

Organization Active NPI

Shenandoah Valley Medical System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Martinsburg, WV
National Provider Identifier
1508437336
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Practice address
250 East Rd
Martinsburg, WV 25404-4910
Phone
(304) 263-4999
NPI assigned
Jul 2, 2021
Organization subpart
Yes
Parent organization
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Michael Hassing
Title
Ceo
Phone
(304) 263-4999

Specialties & licenses 1

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

Addresses

Primary practice location

250 East Rd
Martinsburg, WV 25404-4910

Mailing address

PO Box 1146
Martinsburg, WV 25402-1146
Phone (304) 263-4999

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210920000165 WV Part B Supplier - Clinic/Group Practice 9739093097 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Martinsburg, WV
O20220624001848 WV Part A Provider - Federally Qualified Health Center (FQHC) 9739093097 Practice locations: Martinsburg, WV

Federally qualified health center certification: CCN 581826

Legal name
SHENANDOAH VALLEY MEDICAL SYSTEM,INC.
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 24, 2022
Last certification
Jun 24, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 7, 1976 in WV
Enrollment address
250 East Rd
Martinsburg, WV 25404-4910

Other NPIs with the same Medicare PAC ID 10

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Shenandoah Valley Med S11 organizations share this tax ID, including this one
Part of
Shenandoah Valley Med S

Other organizations with this tax ID 10

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
John Charlton Individual Corporate OfficerSecretary Apr 3, 2023
Harold Shrewsberry Individual Corporate OfficerBoard Chair Apr 3, 2023
Frank S Coe Individual Corporate Officer Jul 20, 2021
Todd M Lockcuff Individual Corporate OfficerCeo Sep 1, 2025
W-2 Managing EmployeeCeo Sep 1, 2025 100%
Zachary Leach Individual Corporate OfficerVice Chair Nov 6, 2023

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1508437336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254021146",
            "telephone_number": "304-263-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EAST RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254044910",
            "telephone_number": "304-263-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH VALLEY MEDICAL SYSTEM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHENANDOAH VALLEY MEDICAL SYSTEM, INC.",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "HASSING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-263-4999"
    },
    "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 Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.