NPI | 1477926350 |
---|---|
Doing Business As | VALLEY HEALTH MOUNTWEST |
Entity Type | Organization |
Authorized Contact | RICHARD WEINBERGER CFO 304-525-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-11-02 |
Last Update Date | 2018-08-02 |