Valley Health Systems Inc
Organization Active NPI Family Medicine Physician · Huntington, WV
NPI 1932189602 · NPPES record last updated May 18, 2011
Key facts
- NPI
- 1932189602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20454 (WV)
- Legal business name
- VALLEY HEALTH SYSTEMS INC
- Practice address
- 307 5TH Ave
Huntington, WV 25702-1815 - Phone
- (304) 529-4734
- NPI assigned
- Jan 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Richard Weinberger
- Title
- Cfo
- Phone
- (304) 525-3334
Other NPIs on the same Medicare enrollment 15
Practitioners 3
-
Richard Booth Jr., M.D.
-
Herbert Myers, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040325000411 | WV | Part B Supplier - Public Health/Welfare Agency | 9931017969 |
Receives reassigned benefits from 154 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Huntington, WV; Wayne, WV; Ona, WV; Kermit, WV; Hurricane, WV; Harts, WV; Fort Gay, WV; Cedar Grove, WV |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 20454 | WV | Yes |
Addresses
Primary practice location
307 5TH Ave
Huntington, WV 25702-1815
Mailing address
PO Box 1680
Huntington, WV 25717-1680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6591667800 | Medicaid | KY | |
| 65916702 | Medicaid | KY | |
| 297341901 | Other | WV | BLACK LUNG |
| 0035068000 | Medicaid | WV | |
| 0998756 | Medicaid | OH | |
| CJ2698 | Other | WV | RR MEDICARE GROUP |
Other names
- Carl Johnson Medical Center
Other providers in Huntington, WV
- Valley Health Systems Inc
- Valley Health Systems Inc
- Valley Health Systems Inc
- Valley Health Systems Inc
- Valley Health Systems Inc
- Valley Health Systems, Inc
- Valley Health Systems, Inc
- Valley Health Systems, Inc
- Valley Health Systems, Inc
- Valley Health Systems, Inc
All providers in Huntington, WV · Family Medicine Physician 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 May 18, 2011. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.