Mountain State Medical Associates Pllc

LBN: Mountain State Medical Associates Pllc
Mountain State Medical Associates Pllc is an health care organization with primary practice located at 300 Kenton Dr Suite 100, Charleston WV 25311-1263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Mountain State Medical Associates Pllc can be contacted via phone (304) 346-5533, or through Bailey, Justin Dale via phone (304) 346-5533.

Contact Information

Primary practice address
300 Kenton Dr Suite 100 Charleston WV 25311-1263
Phone: (304) 346-5533
Fax: (304) 346-5611
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Justin Dale Doctor of Medicine (MD)
Phone: (304) 346-5533

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20410 West Virginia

Profile Details

NPI number 1447349238
LBN Legal business name Mountain State Medical Associates Pllc
DBA Doing business as
Authorized official Bailey, Justin Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 5th, 2015 - about 11 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 1447349238 NPPES
West Virginia Other P00189318 UMWA PIN NUMBER FOR THE GROUP
West Virginia Other DC7713 UMWA PIN NUMBER FOR THE GROUP
West Virginia Other P00215125 UMWA PIN NUMBER FOR THE GROUP
West Virginia Other 001706175 UMWA PIN NUMBER FOR THE GROUP
West Virginia Other 1447349238 UMWA PIN NUMBER FOR THE GROUP
West Virginia MEDICAID 3810001081 UMWA PIN NUMBER FOR THE GROUP

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