NPIMap

Organization Active NPI

Valley Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Coalton, WV
National Provider Identifier
1992437552
Registry record updated Jun 30, 2022
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
278 Broadway Ave
Coalton, WV 26257
Phone
(304) 636-0133
NPI assigned
Jun 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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 Primary

Addresses

Primary practice location

278 Broadway Ave
Coalton, WV 26257

Mailing address

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

Other names 1

  • Valley Health Care, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231020002777 WV Part A Provider - Federally Qualified Health Center (FQHC) 6305878034 Practice locations: Coalton, WV

Federally qualified health center certification: CCN 581029

Legal name
VALLEY HEALTH CARE, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 20, 2023
Last certification
Oct 20, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 7, 1989 in WV
Enrollment address
278 Broadway Ave
Coalton, WV 26257-6708

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

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 16

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 OfficerChief Financial Officer Jan 22, 2008
W-2 Managing Employee Dec 1, 1995
Amanda Jones Individual Corporate OfficerChief Medical Officer Nov 10, 2022
W-2 Managing Employee Feb 1, 2022
Michelle Barnett Individual Corporate Director Jul 9, 2012
Chad Arbogast Individual Corporate Director May 31, 2021
John Carte Individual Corporate Director May 31, 2022
Jonathan Kyle Individual Corporate Director May 13, 2013
Christopher Jones Individual Corporate Director Oct 25, 2022
William Hartman Individual Corporate Director Jan 13, 2014
Jeff Kiess Individual Corporate Director Jun 27, 2023
Jordan Godwin Individual Corporate OfficerChief Executive Officer Jul 9, 2018
W-2 Managing Employee Jul 9, 2018
Debbie Johnson Individual Corporate Director Apr 8, 2013
Sandy Burky Individual Corporate Director Jul 25, 2015
Julie White Individual Corporate Director Oct 25, 2022
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.

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": "1656547200000",
    "number": "1992437552",
    "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": "278 BROADWAY AVE",
            "city": "COALTON",
            "state": "WV",
            "postal_code": "26257",
            "telephone_number": "304-636-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-22",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coalton, WV

Sources for this page

Verify at the official NPI Registry.