| Valley Health Coal Grove | |
|
205 Marion Pike Coal Grove OH 45638 | |
| (740) 532-1188 | |
| (740) 532-1183 |
| Full Name | Valley Health Coal Grove |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Marion Pike, Coal Grove, Ohio |
| Authorized Official Name and Position | Mary-beth Brubeck (VICE PRESIDENT OF FINANCE / CFO) |
| Authorized Official Contact | 3045253334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Health Coal Grove 2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 697-1396 | Valley Health Coal Grove 205 Marion Pike Coal Grove OH 45638 Ph: (740) 532-1188 |
| NPI Number | 1629043708 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Medicare PECOS PAC ID | 9931017969 |
|---|---|
| Medicare Enrollment ID | O20030616000009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629043708 | NPI | - | NPPES |
| 0998694 | Medicaid | OH | |
| 7100087500 | Medicaid | KY | |
| 0094868 | Medicaid | OH | |
| 0035230000 | Medicaid | WV |
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