NPIMap

Organization Active NPI

Valley Health Care, Inc

Doing business as Valley Health Care Elkins

  • Federally Qualified Health Center (FQHC)
  • Elkins, WV
National Provider Identifier
1710270954
Registry record updated Apr 5, 2018
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
Doing business as
Valley Health Care Elkins
Practice address
240 Allegheny Hwy
Elkins, WV 26241-3331
Phone
(304) 636-0133
NPI assigned
May 20, 2011
Last updated
Apr 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

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

Authorized official

Name
Vevica Lynn Gray
Title
Admin. Asst
Phone
(304) 335-2050

Specialties & licenses 1

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

Addresses

Primary practice location

240 Allegheny Hwy
Elkins, WV 26241-3331

Mailing address

240 Allegheny Hwy
Elkins, WV 26241-3331
Phone (304) 636-0133

Other names 1

  • Valley Health Care Elkins Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV2 enrollments

Enrollment records 2

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
O20110721000710 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Elkins, WV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710270954. Details of each certification follow.

Federally qualified health center certification: CCN 511972

Legal name
VALLEY HEALTH CARE, INC
Doing business as
VALLEY HEALTH CARE ELKINS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 26, 2011
Last certification
Jul 26, 2011
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2011 in WV
Enrollment address
240 Allegheny Hwy
Elkins, WV 26241-5749

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.

National Provider Directory

National Provider Directory
Part of
Rex Hospital Inc

Locations

105 Nathan St
Elkins, WV 26241
Phone (304) 636-7985

46 Town Center Plz
#A
Mill Creek, WV 26280
Phone (304) 335-6005

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Belinda Robinson Individual Corporate Officer Jan 22, 2008
W-2 Managing Employee Dec 1, 1995
Adam W Casseday Individual W-2 Managing Employee Feb 1, 2006
Ricky Sharp Individual Corporate Director Sep 28, 2020
Michelle Barnett Individual Corporate Director Jul 9, 2012
Chad Arbogast Individual Corporate Director May 31, 2021
Jonathan Kyle Individual Corporate Director May 13, 2013
William Hartman Individual Corporate Director Jan 13, 2014
Jordan Godwin Individual Corporate Officer Jul 9, 2018
Debbie Johnson Individual Corporate Director Apr 8, 2013
Sandy Burky Individual Corporate Director Jul 27, 2015
John Kabler Individual Corporate Director Mar 10, 2011
Diane Hull Individual Corporate Director Oct 27, 2014
Willy Saucerman Individual Corporate Director Jul 25, 2016

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 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1710270954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413331",
            "telephone_number": "304-636-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 ALLEGHENY HWY",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413331",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH CARE, INC",
        "enumeration_date": "2011-05-20",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "VEVICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMIN. ASST",
        "authorized_official_telephone_number": "304-335-2050"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Care Elkins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elkins, WV

Sources for this page

Verify at the official NPI Registry.