| Valley Health Southside Elementary Health Center | |
|
930 2nd Street Huntington WV 25701 | |
| (304) 528-5168 | |
| (304) 697-2086 |
| Full Name | Valley Health Southside Elementary Health Center |
|---|---|
| Speciality | Dentist |
| Location | 930 2nd Street, Huntington, West Virginia |
| Authorized Official Name and Position | Richard Weinberger (CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Southside Elementary Health Center Po Box 1680 Huntington WV 25717-1680 Ph: (304) 697-1396 | Valley Health Southside Elementary Health Center 930 2nd Street Huntington WV 25701 Ph: (304) 528-5168 |
| NPI Number | 1518275627 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518275627 | NPI | - | NPPES |
| 3810018947 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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