NPIMap

Organization Active NPI

Mid Valley Healthcare Inc

  • Community/Behavioral Health Agency
  • New Martinsville, WV
National Provider Identifier
1538438403
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
387 Issued in WV
Legal business name
MID VALLEY HEALTHCARE INC
Practice address
307 N Main St
New Martinsville, WV 26155-1215
Phone
(304) 455-3661
Fax
(304) 234-3511
NPI assigned
Dec 22, 2011
Organization subpart
Yes
Parent organization
NORTHWOOD HEALTH SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Mark A Games
Title
President & Ceo
Phone
(304) 234-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 387 WV Primary

Addresses

Primary practice location

307 N Main St
New Martinsville, WV 26155-1215

Mailing address

111 19TH St
PO Box 6400
Wheeling, WV 26003-3709
Phone (304) 234-3500

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidWV

National Provider Directory

National Provider Directory
Tax ID family
Mid Valley Healthcare Inc4 organizations share this tax ID, including this one
Part of
Northwoods Health Syete

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1538438403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 19TH ST",
            "address_2": "PO BOX 6400",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033709",
            "telephone_number": "304-234-3500",
            "fax_number": "304-234-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551215",
            "telephone_number": "304-455-3661",
            "fax_number": "304-234-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID VALLEY HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWOOD HEALTH SYSTEMS INC",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GAMES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "304-234-3500"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Martinsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.