NPIMap

Organization Active NPI

Valley Health Systems, Inc.

Doing business as Valley Health Lakeside Elementary Health Center

  • Pediatrics Physician
  • Hurricane, WV
National Provider Identifier
1609142983
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VALLEY HEALTH SYSTEMS, INC.
Doing business as
Valley Health Lakeside Elementary Health Center
Practice address
2550 US Route 60
Hurricane, WV 25526-9436
Phone
(304) 562-3630
Fax
(304) 697-2086
NPI assigned
Mar 30, 2012
Last updated
Jan 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Mr. Richard Weinberger
Title
Chief Financial Officer
Phone
(304) 525-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X WV Primary

Addresses

Primary practice location

2550 US Route 60
Hurricane, WV 25526-9436

Mailing address

PO Box 1680
Huntington, WV 25717-1680
Phone (304) 525-3334

Other identifiers 1

IdentifierTypeStateIssuer
3910000305MedicaidWV

Other names 1

  • Valley Health Lakeside Elementary Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

2554 US Route 60
Hurricane, WV 25526
Phone (304) 360-6217

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1609142983",
    "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": "304-525-3334",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 US ROUTE 60",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269436",
            "telephone_number": "304-562-3630",
            "fax_number": "304-697-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "304-525-3334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910000305",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Lakeside Elementary Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.