Mountaineer Family Practice Pllc
LBN: Mountaineer Family Practice Pllc
Mountaineer Family Practice Pllc is an health care organization with primary practice located at 916 West Main Street , Bridgeport WV 26330-0119. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Mountaineer Family Practice Pllc can be contacted via phone (304) 842-1035, or through Hill, James Blair via phone (304) 842-1035.
Contact Information
Primary practice address
916 West Main Street
Bridgeport WV 26330-0119
Phone: (304) 842-1035
Fax:
Website:
Authorized official contact:
Name: Hill, James Blair Doctor of Osteopathy (DO)
Phone: (304) 842-1035
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | WV1976 | West Virginia |
Profile Details
| NPI number | 1659303196 |
|---|---|
| LBN Legal business name | Mountaineer Family Practice Pllc |
| DBA Doing business as | |
| Authorized official | Hill, James Blair Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 12th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659303196 | NPPES |
| West Virginia | MEDICAID | 3810005030 | |
| West Virginia | Other | 001875187 |
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