Valley Health Care, Inc | |
46 Town Center Plz Ste A Mill Creek WV 26280-9752 | |
(304) 335-2050 | |
(304) 335-6158 |
Full Name | Valley Health Care, Inc |
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Speciality | Clinic/Center |
Location | 46 Town Center Plz Ste A, Mill Creek, West Virginia |
Authorized Official Name and Position | Jordan A. Godwin (CEO) |
Authorized Official Contact | 3046360133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Health Care, Inc Po Box 247 Us Route 219/250 Mill Creek WV 26280-0247 Ph: (304) 335-2050 | Valley Health Care, Inc 46 Town Center Plz Ste A Mill Creek WV 26280-9752 Ph: (304) 335-2050 |
NPI Number | 1801861083 |
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Provider Enumeration Date | 02/21/2006 |
Last Update Date | 11/08/2023 |
Medicare PECOS PAC ID | 6305878034 |
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Medicare Enrollment ID | O20050902000096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801861083 | NPI | - | NPPES |
5369000000 | Medicaid | WV | |
420003 | Other | WV | VACCINE FOR CHILDREN |
CH3574 | Other | WV | RAILROAD MEDICARE |
5657280001 | Other | WV | HEALTH NOW/DMERC/FQHC |
000394653 | Other | WV | BCBS MEDICARE FQHC # |
1025217 | Other | WV | BRICKSTREET WORKERS COMP |
51D0674689 | Other | WV | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (West Virginia) | Primary |
Provider Name | Adam W Casseday |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144296286 PECOS PAC ID: 0941219109 Enrollment ID: I20060417000353 |
Provider Name | Debra Marie Auble |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740263151 PECOS PAC ID: 5294821187 Enrollment ID: I20071024000197 |
Provider Name | David Currence |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144327297 PECOS PAC ID: 0749313807 Enrollment ID: I20100727000542 |
Provider Name | Jennifer Ellen Beverage |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275769275 PECOS PAC ID: 1052590650 Enrollment ID: I20110128000332 |
Provider Name | Donielle S Teter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902154644 PECOS PAC ID: 6406008481 Enrollment ID: I20121221000144 |
Provider Name | Aleisha G Arbogast |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1790059152 PECOS PAC ID: 0648412916 Enrollment ID: I20130815000754 |
Provider Name | Amanda Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073999371 PECOS PAC ID: 2062718984 Enrollment ID: I20160302002000 |
Provider Name | Erika L Beckett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922343128 PECOS PAC ID: 7113225806 Enrollment ID: I20160413000894 |
Provider Name | Sierra Nicole Bennett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891235883 PECOS PAC ID: 1456620681 Enrollment ID: I20170703001330 |
Provider Name | Sara L Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336604941 PECOS PAC ID: 3971845504 Enrollment ID: I20190501002492 |
Provider Name | Alyson Margaret Leo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598296642 PECOS PAC ID: 1254601693 Enrollment ID: I20200819002501 |
Provider Name | Lyndsey Shae Boatwright |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407480031 PECOS PAC ID: 7012334469 Enrollment ID: I20200831000974 |
Provider Name | Kristy Zink |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275233058 PECOS PAC ID: 6305202722 Enrollment ID: I20230510000077 |
Provider Name | Allison Wetsch |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255024428 PECOS PAC ID: 9436511490 Enrollment ID: I20230808004223 |
Provider Name | Katie Paine |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972282689 PECOS PAC ID: 2365806304 Enrollment ID: I20230911000857 |
Provider Name | Cameron Michael Ross |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144856097 PECOS PAC ID: 1850745688 Enrollment ID: I20230928000779 |
Provider Name | Patricia Haddix |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649546896 PECOS PAC ID: 5294024642 Enrollment ID: I20240108004979 |
Provider Name | Thomas A Singleton |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679628283 PECOS PAC ID: 5092988550 Enrollment ID: I20240112001317 |
Valley Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10007 Seneca Trail, Mill Creek, WV 26280 Phone: 304-335-2050 | |
Valley Health Care Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Rr 1 Box 290, Mill Creek, WV 26280 Phone: 304-335-4574 |