SHENANDOAH VALLEY MEDICAL SYSTEM,INC. – NPI #1881893550
Clinic/Center

SHENANDOAH VALLEY MEDICAL SYSTEM,INC. is an AHC clinic located in INWOOD, WV. NPPES has assigned the NPI number 1881893550 to SHENANDOAH VALLEY MEDICAL SYSTEM,INC. on July 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHENANDOAH VALLEY MEDICAL SYSTEM,INC.” is a dba name, the actual legal business name for this organization is SHENANDOAH VALLEY FAMILY HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 18 years ago on May 21, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHENANDOAH VALLEY MEDICAL SYSTEM,INC. below.

NPI Profile for
SHENANDOAH VALLEY FAMILY HEALTH CENTER

NPI Number
1881893550
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHENANDOAH VALLEY FAMILY HEALTH CENTER
Doing Business As (dba): SHENANDOAH VALLEY MEDICAL SYSTEM,INC.
Primary location
102 HOVATER DRIVE
INWOOD, WV 25428
Phone: (304) 263-4999 Fax: (304) 263-0984
Mailing address
PO BOX 1146
MARTINSBURG, WV 25402-1146
Phone: (304) 263-4999 Fax: (304) 263-0984
Organization Subpart
No
Authorized Official
DAVID FANT
CEO
Phone: (304) 263-4999
Updated
Identifiers

Identifiers for SHENANDOAH VALLEY MEDICAL SYSTEM,INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWV0035217007
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.