Provider Demographics
NPI:1710270954
Name:VALLEY HEALTH CARE, INC
Entity Type:Organization
Organization Name:VALLEY HEALTH CARE, INC
Other - Org Name:VALLEY HEALTH CARE ELKINS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN. ASST
Authorized Official - Prefix:
Authorized Official - First Name:VEVICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-335-2050
Mailing Address - Street 1:240 ALLEGHENY HWY
Mailing Address - Street 2:
Mailing Address - City:ELKINS
Mailing Address - State:WV
Mailing Address - Zip Code:26241-3331
Mailing Address - Country:US
Mailing Address - Phone:304-636-0133
Mailing Address - Fax:
Practice Address - Street 1:240 ALLEGHENY HWY
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3331
Practice Address - Country:US
Practice Address - Phone:304-636-0133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-20
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)