Active NPI
Valley Health Care, Inc.
Doing business as Family Practice Community Health
- Federally Qualified Health Center (FQHC)
- Elkins, WV
National Provider Identifier
1639148778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- VALLEY HEALTH CARE, INC.
- Doing business as
- Family Practice Community Health
- Practice address
- Gorman Ave. and 8TH St.
Elkins, WV 26241-3394 - Phone
- (304) 335-2050
- NPI assigned
- Mar 14, 2006
- Last updated
- Mar 3, 2010
- 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. G. Michael Hinchman, MBA
- Title
- Ceo
- Phone
- (304) 335-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | WV | Primary |
Addresses
Primary practice location
Gorman Ave. and 8TH St.
Elkins, WV 26241-3394
Mailing address
PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 335-2050
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420005 | Other | WV | VACCINE FOR CHILDREN |
| 5657280002 | Other | WV | HEALTH NOW DMERC/FQHC |
| 000394653 | Other | WV | BC/BS MEDICARE FQHC |
| 51D1051732 | Other | WV | CLIA |
| 3810006663 | Medicaid | WV | |
| CH3574 | Other | WV | RAILROAD MEDICARE |
| 05-5-00344 | Other | WV | WV STATE TAX BUS. LIC |
| 1025217 | Other | WV | BRICKSTREET WORKERS COMP |
Other names 1
- FAMILY PRACTICE COMMUNITY HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1063842441
O20050902000096
-
- Federally Qualified Health Center (FQHC)
- Mill Creek, WV
- NPI 1245660802
O20050902000096
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1699105072
O20050902000096
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1972933356
O20050902000096
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1699407270
O20050902000096
-
dba Valley Health Care Elkins
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1710270954
O20050902000096
-
- Federally Qualified Health Center (FQHC)
- Mill Creek, WV
- NPI 1801861083
O20050902000096
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267574400000",
"number": "1639148778",
"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",
"fax_number": "304-335-6158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GORMAN AVE. AND 8TH ST.",
"city": "ELKINS",
"state": "WV",
"postal_code": "262413394",
"telephone_number": "304-335-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-14",
"last_updated": "2010-03-03",
"status": "A",
"authorized_official_last_name": "HINCHMAN",
"authorized_official_first_name": "G.",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "304-335-2050",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VACCINE FOR CHILDREN",
"identifier": "420005",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NOW DMERC/FQHC",
"identifier": "5657280002",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS MEDICARE FQHC",
"identifier": "000394653",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "51D1051732",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810006663",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH3574",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV STATE TAX BUS. LIC",
"identifier": "05-5-00344",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET WORKERS COMP",
"identifier": "1025217",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FAMILY PRACTICE COMMUNITY HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.