Mountain Laurel Integrated Healthcare

LBN: Logan-Mingo Area Mental Health, Inc
Mountain Laurel Integrated Healthcare is an health care organization with primary practice located at 174 Lmah Center Rd , Logan WV 25601-4058. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Logan-Mingo Area Mental Health, Inc can be contacted via phone (304) 792-7130, or through Robertson, Angela L via phone (304) 792-7130.

Contact Information

Primary practice address
174 Lmah Center Rd Logan WV 25601-4058
Phone: (304) 792-7130
Fax: (304) 896-5184
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Angela L
Phone: (304) 792-7130

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1205525276
LBN Legal business name Logan-Mingo Area Mental Health, Inc
DBA Doing business as Mountain Laurel Integrated Healthcare
Authorized official Robertson, Angela L
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2023
Last updated May 18th, 2023 - about 3 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 1205525276 NPPES
Other 5059060 NCPDP
Other SP0552603 NCPDP

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