Council Of The Southern Mountains

LBN: Council Of The Southern Mountains
Council Of The Southern Mountains is an health care organization with primary practice located at 69 Main St. , Northfork WV 24868-0085. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Council Of The Southern Mountains can be contacted via phone (304) 862-3144, or through Johnson, Randal via phone (304) 862-3144.

Contact Information

Primary practice address
69 Main St. Northfork WV 24868-0085
Phone: (304) 862-3144
Fax: (304) 862-3071
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Randal
Phone: (304) 862-3144

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 384 West Virginia

Profile Details

NPI number 1366625915
LBN Legal business name Council Of The Southern Mountains
DBA Doing business as
Authorized official Johnson, Randal
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Dec 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366625915 NPPES
West Virginia MEDICAID 3810009683
West Virginia MEDICAID 3810009682

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