Mountaineer Home Medical, Llc
LBN: Mountaineer Home Medical, Llc
Mountaineer Home Medical, Llc is an health care organization with primary practice located at 5000 Greenbag Road Suite F6, Morgantown WV 26501. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Mountaineer Home Medical, Llc can be contacted via phone (304) 225-6290, or through Jackson, Michelle L via phone (304) 225-6290.
Contact Information
Primary practice address
5000 Greenbag Road Suite F6
Morgantown WV 26501
Phone: (304) 225-6290
Fax: (304) 225-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 770649 | West Virginia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | CONTROLNUMBER72117 | West Virginia |
Profile Details
| NPI number | 1760474852 |
|---|---|
| LBN Legal business name | Mountaineer Home Medical, Llc |
| DBA Doing business as | |
| Authorized official | Jackson, Michelle L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 19th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760474852 | NPPES |
| West Virginia | Other | 001704877 | BLUE CROSS BLUE SHIELD |
| West Virginia | Other | DME315 | BLUE CROSS BLUE SHIELD |
| West Virginia | MEDICAID | 3810001835 | BLUE CROSS BLUE SHIELD |
| West Virginia | MEDICAID | 407251100 | BLUE CROSS BLUE SHIELD |
| West Virginia | MEDICAID | 101294177 0001 | BLUE CROSS BLUE SHIELD |
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