| NPI | 1083694756 |
|---|---|
| Doing Business As | VALLEY HEALTH FORT GAY |
| Entity Type | Organization |
| Authorized Contact | MARY-BETH BRUBECK Vice President Of Finance / CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 122300000X Dentist (Licence: WV 2768) | |
| 207Q00000X Family Medicine (Licence: WV 1744) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2022-03-31 |