| NPI | 1831559608 |
|---|---|
| Doing Business As | VALLEY HEALTH 10TH STREET |
| Entity Type | Organization |
| Authorized Contact | RICHARD WEINBERGER CFO 304-525-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-05-10 |