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:
Map and Directions
Authorized official contact:
Name: Hill, James Blair Doctor of Osteopathy (DO)
Phone: (304) 842-1035

Health care specialties

SpecialtyCodeLicense #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 17 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 1659303196 NPPES
West Virginia MEDICAID 3810005030
West Virginia Other 001875187

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