Mountaineer Recovery Center

LBN: Mountaineer Behavioral Health
Mountaineer Recovery Center is an health care organization with primary practice located at 3094 Charles Town Road , Kearneysville WV 25430. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mountaineer Behavioral Health can be contacted via phone (304) 901-2070, or through Hendricks, Jason via phone (148) 940-0407.

Contact Information

Primary practice address
3094 Charles Town Road Kearneysville WV 25430
Phone: (304) 901-2070
Fax: (304) 885-1054
Website:
Map and Directions
Authorized official contact:
Name: Hendricks, Jason
Phone: (148) 940-0407

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 443 West Virginia

Profile Details

NPI number 1780135863
LBN Legal business name Mountaineer Behavioral Health
DBA Doing business as Mountaineer Recovery Center
Authorized official Hendricks, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2016
Last updated Apr 10th, 2024 - about 2 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 1780135863 NPPES
West Virginia Other 443 DEPARTMENT OF HEALTH AND HUMAN RESOURCES BEHAVIORAL HEALTH LICENSE

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