Organization Active NPI

Valley Health Care Inc.

  • Federally Qualified Health Center (FQHC)
  • Mill Creek, WV
National Provider Identifier
1821423955
Registry record updated Sep 9, 2013
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
RR 1 Box 290
Mill Creek, WV 26280-9709
Phone
(304) 335-4574
NPI assigned
Sep 9, 2013
Organization subpart
Yes
Parent organization
VALLEY HEALTH CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
George M Hinchman
Title
Ceo
Phone
(304) 335-2050

Specialties & licenses 1

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

Addresses

Primary practice location

RR 1 Box 290
Mill Creek, WV 26280-9709

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 WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430002312 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Mill Creek, WV

Federally qualified health center certification: CCN 511074

Legal name
VALLEY HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 4, 2015
Last certification
May 4, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 2014 in WV
Enrollment address
290 RR 1
Mill Creek, WV 26280-9709

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

National Provider Directory

National Provider Directory
Tax ID family
Valley Health Care Inc15 organizations share this tax ID, including this one
Part of
Valley Health Care Inc

Other organizations with this tax ID 14

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

View all 14

Ownership & related parties

All disclosed owners & managing parties 14

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
Amanda Jones Individual W-2 Managing Employee Nov 13, 2022
Michelle Barnett Individual Corporate Director May 12, 2014
Chad Arbogast Individual Corporate Director May 31, 2021
John Carte Individual Corporate Director May 31, 2022
Jonathan Kyle Individual Corporate Director May 1, 2013
Christopher Jones Individual Corporate Director Oct 25, 2022
Jeff Kiess Individual Corporate Director Jun 27, 2023
Jordan Godwin Individual Corporate Officer Jul 9, 2018
Debbie Johnson Individual Corporate Director Apr 8, 2013
Sandy Burky Individual Corporate Director Jul 25, 2015
John Kabler Individual Corporate Director Mar 10, 2011
Diane Hull Individual Corporate Director Oct 27, 2014
Willy Saucerman Individual Corporate Director Nov 12, 2012

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1821423955",
    "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": "RR 1 BOX 290",
            "city": "MILL CREEK",
            "state": "WV",
            "postal_code": "262809709",
            "telephone_number": "304-335-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH CARE INC.",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "HINCHMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WV

Sources for this page

Verify at the official NPI Registry.