NPIMap

Organization Active NPI

Valley Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
National Provider Identifier
1699407270
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
VALLEY HEALTH CARE, INC
Practice address
33 Chenoweth Creek Rd
Elkins, WV 26241-9237
Phone
(304) 636-0133
NPI assigned
Jun 30, 2022
Last updated
Jan 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Authorized official

Name
Jordan A. Godwin
Title
Ceo
Phone
(304) 335-2050

Specialties & licenses 1

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

Addresses

Primary practice location

33 Chenoweth Creek Rd
Elkins, WV 26241-9237

Mailing address

PO Box 247
Mill Creek, WV 26280-0247
Phone (304) 335-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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
O20260302000716 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Elkins, WV
O20260421000038 WV DME Supplier - Physician - Optometrist 6305878034 Practice locations: Elkins, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699407270. Details of each certification follow.

Federally qualified health center certification: CCN 581088

Legal name
VALLEY HEALTH CARE, INC
Doing business as
VALLEY HEALTH CARE EYE CARE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 5, 2026
Last certification
Mar 5, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
33 Chenoweth Creek Rd
Elkins, WV 26241-9237

Other NPIs with the same Medicare PAC ID 13

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

View all 13

Other NPIs on the same Medicare enrollment 7

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Valley Health Care, Inc33 Chenoweth Creek Rd, Elkins, WV 26241-9237(304) 636-0133 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Mar 22, 2000

National Provider Directory

National Provider Directory
Tax ID family
Rex Hospital Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

230 Heavner Ave
Elkins, WV 26241

33 Chenoweth Creek Rd
Elkins, WV 26241
Phone (304) 636-0133

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Kathy Leombruno Individual Corporate Director Jul 29, 2025
Amanda Jones Individual W-2 Managing Employee Nov 10, 2022
Chad Arbogast Individual Corporate Director May 31, 2021
John Carte Individual Corporate Director May 31, 2022
Jonathan Kyle Individual Corporate Director May 13, 2013
E Mark Doak Individual Corporate Director Jul 29, 2025
Melissa McCoy Individual Corporate Director Jan 30, 2024
Jeff Kiess Individual Corporate Director Jun 27, 2023
Jordan Godwin Individual Corporate OfficerCeo Mar 1, 2026
Amanda Leach Individual Corporate Director Sep 24, 2024
Sandy Burky Individual Corporate Director Jul 27, 2015
Michael Parker Individual Corporate Director Jul 29, 2025
Teena Wallace Individual Corporate Director Jun 24, 2025
Gregory Johnson Individual Corporate Director Jun 1, 2024
Kathy Stalnaker Individual Corporate Director Jul 29, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767657600000",
    "number": "1699407270",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHENOWETH CREEK RD",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419237",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-335-2050"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.