| Valley Health 10th Street | |
|
540 10th St Huntington WV 25701-2217 | |
| (304) 399-3366 | |
| (304) 522-0091 |
| Full Name | Valley Health 10th Street |
|---|---|
| Speciality | Clinic/Center |
| Location | 540 10th St, Huntington, West Virginia |
| 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 10th Street 2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 697-1396 | Valley Health 10th Street 540 10th St Huntington WV 25701-2217 Ph: (304) 399-3366 |
| NPI Number | 1881054476 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 03/31/2022 |
| Medicare PECOS PAC ID | 9931017969 |
|---|---|
| Medicare Enrollment ID | O20160318000254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881054476 | NPI | - | NPPES |
| Provider Name | Mark Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477043842 PECOS PAC ID: 1557740883 Enrollment ID: I20220616002270 |
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