Valley Health Systems, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Barboursville, WV
NPI 1659733293 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1659733293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- VALLEY HEALTH SYSTEMS, INC.
- Practice address
- 6350 US Route 60 E
Barboursville, WV 25504 - Phone
- (304) 399-3350
- Fax
- (304) 697-2086
- NPI assigned
- Mar 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Mary-Beth Brubeck
- Title
- Vice President of Finance / Cfo
- Phone
- (304) 525-3334
Other NPIs on the same Medicare enrollment 1
Practitioners 57
-
Sierra Michele Adkins, FNP-BC
-
Michael Amos, MD
-
John David Apgar, DO
-
Jason Ashworth, APRN-FNP-C
-
Katelyn Jo Aubry, FNP-BC
-
Jessica Dawn Auffant, NP-C
-
Brandi Jay Blake, FNP-BC
-
Ryan R Cicenas, MD
-
Amber Denay Cline, APRN
-
Alexandra Nicole Collins, MSN, APRN, FNP-BC
-
Chelsey Crutchfield, FNPBC
-
Scott Edward Davis, M.D.
-
Tonya Fleming, APRN, FNP-BC
-
Amy L Garmestani, MD
-
Lissa L Gonzalez, CRNP
-
Jessica Leigh Holley, APRN
-
Kathy Jo Kirby, APRN, FNP-BC
-
Kimberly D Legg, MA,CCC-A
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WV
Federally qualified health center certification: CCN 511098
- Legal name
- VALLEY HEALTH SYSTEMS, INC
- Doing business as
- VALLEY HEALTH FOODFAIR RT 60
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 18, 2016
- Last certification
- Apr 18, 2016
- Ownership / control type
- For profit – corporation
- Organization structure
- Other · Non-profit
- Incorporated
- Apr 13, 2016 in WV
- Enrollment address
- 6350 US Route 60 E
Barboursville, WV 25504-1232
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Sherry Perry |
Corporate Director |
Feb 1, 1994 | |
| Christina Walter |
Corporate Director |
Apr 25, 2019 | |
| Steven Leigh Shattls |
Corporate Officer |
Jan 1, 1975 | |
| W-2 Managing Employee | Jan 1, 1975 | ||
| Jared Colker |
Corporate Director |
Dec 8, 2016 | |
| Paulette Mabry |
Corporate Director |
Dec 8, 2016 | |
| Bill Bryant |
Corporate Director |
Apr 28, 2011 | |
| Suzi Brodof |
Corporate Director |
Oct 26, 2017 | |
| Sherrone Hornbuckle |
Corporate Director |
Oct 26, 2017 | |
| Mary-Beth Brubeck |
Corporate Officer |
Jan 1, 2019 | |
| W-2 Managing Employee | Jan 1, 2019 | ||
| Kalyn Obiozor Dorey |
Corporate Director |
Nov 22, 2022 | |
| Greg Agee |
Corporate Director |
Jan 27, 2005 | |
| Jill Hutchinson |
Corporate Director |
Jan 27, 2005 | |
| Benjamin L Howard |
Corporate Director |
Jan 1, 2003 |
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Valley Health Apple Grove |
Federally qualified health center | 5% Or Greater Direct Ownership Interest (100%) | Dec 16, 1975 |
| Valley Health SCP - Charleston 108 |
Federally qualified health center | Operational/Managerial Control | Feb 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160511001131 | WV | Part a Provider - Federally Qualified Health Center (FQHC) | 9931017969 | Practice locations: Barboursville, WV |
| O20160824002521 | WV | Part B Supplier - Clinic/Group Practice | 9931017969 |
Receives reassigned benefits from 56 practitioners 1 other NPI on this enrollment Practice locations: Barboursville, WV |
National Provider Directory
Locations
2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
6350 US Route 60 E
Barboursville, WV 25504
Mailing address
2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396
Other names
- Valley Health FoodFair Rt 60
Other providers in Barboursville, WV
- Melissa Upton
- Shyanna Utterback
- Dominique Valdez
- Jessica Valentine
- Valley Health Systems, Inc
- Gina Valyi
- R. Allen Vanatter III
- Amber Vance
- Betty Vance
- Cassandra Vance
All providers in Barboursville, WV · Federally Qualified Health Center (FQHC) in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.