SHENANDOAH VALLEY MEDICAL SYSTEM, INC.


Address: 99 Tavern Rd, Martinsburg, WV 25401-2890
Phone: 3042634999

SHENANDOAH VALLEY MEDICAL SYSTEM, INC. (NPI# 1083617823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083617823
Entity Type Organization
Organization Name SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Practice Address 99 Tavern Rd
Martinsburg
WV 25401-2890
Mailing Address Po Box 1146
Martinsburg
WV 25402-2890
Practice Telephone 3042634999
Mailing Telephone 3042634999
Enumeration Date 2005-05-24
Last Update Date 2019-10-23
Authorized Official Name MICHAEL HASSING (CEO)
Authorized Official Telephone 3042634999
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
========= WV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WV 0035217000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1508064510 Shenandoah Valley Medical System, Inc. Clinic/Center 106 Sand Mine Rd Ste 7, Berkeley Springs, WV 25411-7457 2007-07-11
1023217452 Shenandoah Valley Medical System, Inc. Clinic/Center 1330 Amherst St, Winchester, VA 22601-3054 2007-07-16

Office Location

Street Address 99 TAVERN RD
City MARTINSBURG
State WV
Zip Code 25401-2890

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699383414 Kerry A Tucker Nurse Practitioner 99 Tavern Rd, Martinsburg, WV 25401-2890 2020-07-17
1134752785 Scott Damon George Social Worker 99 Tavern Rd, Martinsburg, WV 25401-2890 2020-02-21
1942831748 Victoria Ann Flynn Social Worker 99 Tavern Rd, Martinsburg, WV 25401-2890 2020-01-30
1770141202 Sarah Dey Advanced Practice Midwife 99 Tavern Rd, Martinsburg, WV 25401-2890 2019-05-30
1730642737 Tina Marie Malgarini Mawing Nurse Practitioner 99 Tavern Rd, Martinsburg, WV 25401-2890 2019-04-08
1518439934 Sabrina Austin Advanced Practice Midwife 99 Tavern Rd, Martinsburg, WV 25401-2890 2018-12-24
1649765132 Cara Beth Burker Nurse Practitioner 99 Tavern Rd, Martinsburg, WV 25401-2890 2018-06-27
1265933295 April Marshall Advanced Practice Midwife 99 Tavern Rd, Martinsburg, WV 25401-2890 2018-02-26
1588164982 Glenda Leanne Kay Advanced Practice Midwife 99 Tavern Rd, Martinsburg, WV 25401-2890 2018-02-13
1740715465 Mary Dunn Registered Nurse 99 Tavern Rd, Martinsburg, WV 25401-2890 2017-05-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962020537 Christina Anne Williams Nurse Practitioner 2100 Hospital Drive, Martinsburg, WV 25401 2020-07-10
1013530633 Pdi Health Wv LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 126 E. Burke Street, Martinsburg, WV 25401 2020-05-19
1699293035 Tiffany Curry Social Worker 653 Winchester Avenue, Martinsburg, WV 25401 2017-09-06
1972042992 Berkeley County Council Counselor 800 Emmett Rousch Drive, Martinsburg, WV 25401 2017-02-23
1023569449 Heidi Crawford Registered Nurse 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 2016-10-20
1578911293 Christina Marie Van Hilst Nurse Practitioner 1001 Sushruta Dr, Martinsburg, WV 25401 2016-06-03
1578926549 Barathy Radhakrishnan Speech-Language Pathologist 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 2016-03-29
1972985638 Wellco Dme LLC Durable Medical Equipment & Medical Supplies 107 Tavern Rd, Martinsburg, WV 25401 2015-06-18
1457731960 Patrick Hamilton Noland Dentist 1003 Sushruta Dr., Martinsburg, WV 25401 2015-06-01
1801296330 Terry Harden Massage Therapist 601 South Raliegh St., Martinsburg, WV 25401 2014-09-03
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

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1194339309 Community Care of West Virginia, Inc. Clinic/Center 33 E Victoria St, Buckhannon, WV 26201-2671 2020-09-04
1063048189 Community Care of West Virginia, Inc. Clinic/Center 34 N Kanawha St, Buckhannon, WV 26201-2714 2020-03-20
1619503422 Change Inc Clinic/Center 114 Taylor Ave, Weirton, WV 26062-4635 2020-03-13
1861023699 Logan-mingo Area Mental Health, Inc Clinic/Center 2954 Buffalo Creek Road, Chattaroy, WV 25667 2020-01-30
1689220402 New River Health Association, Inc. Clinic/Center 2 Greyhound Ln., Smithers, WV 25186 2019-08-16
1740836873 Williamson Health & Wellness Center Inc Clinic/Center 5 Parkway Dr, Williamson, WV 25661-3428 2019-08-14
1699321729 Williamson Health & Wellness Center Inc Clinic/Center 50 Panther Blvd, Williamson, WV 25661-7441 2019-08-14
1083260129 Williamson Health & Wellness Center Inc Clinic/Center 300 Blue Devil Lane, Kermit, WV 25661 2019-08-14
1225684731 Williamson Health & Wellness Center Inc Clinic/Center 1000 King Coal Hwy, Delbarton, WV 25670-9529 2019-08-12
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Competitor

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City MARTINSBURG
Zip Code 25401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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