NPIMap

Valley Health Care, Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Elkins, WV

NPI 1710270954 · NPPES record last updated Apr 5, 2018

Key facts

NPI
1710270954
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
VALLEY HEALTH CARE, INC
Practice address
240 Allegheny Hwy
Elkins, WV 26241-3331
Phone
(304) 636-0133
NPI assigned
May 20, 2011
Organization subpart
Yes
Parent organization (as reported)
VALLEY HEALTH CARE, INC

Authorized official

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

Owners & managing parties with NPI records 1

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

Other NPIs on the same Medicare enrollment 7

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

Other NPIs with the same Medicare PAC ID 13

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

Practitioners 53

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 53

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in WV

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
Corporation · Non-profit
Incorporated
Sep 1, 2011 in WV
Enrollment address
240 Allegheny Hwy
Elkins, WV 26241-5749

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

Medicare enrollment records

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

National Provider Directory

Part of
Valley Health Care Inc

Specialties & licenses

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

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

  • Valley Health Care Elkins Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 5, 2018.

{
    "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

All providers in Elkins, WV · Federally Qualified Health Center (FQHC) in West Virginia

Sources for this page

Verify at the official NPI Registry.