MOUNTAINEER COMMUNITY HEALTH CENTER, INC. (NPI# 1033299862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033299862 |
| Entity Type | Organization |
| Organization Name | MOUNTAINEER COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
783 Winchester St Paw Paw WV 25434-0002 |
| Mailing Address |
Po Box 2 783 Winchester St Paw Paw WV 25434-0002 |
| Practice Telephone | 3049475500 |
| Practice Fax Number | 3049475563 |
| Mailing Telephone | 3049475500 |
| Mailing Fax Number | 3049475563 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-08-25 |
| Authorized Official Name | MRS. BARBARA R NORTON (PRESIDENT) |
| Authorized Official Telephone | 3049475500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0005X |
Clinic/Center Specialization: Ambulatory Family Planning Facility |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0035343000 | 05 | |
| WV | RRMC | CC5660 | 01 |
| Street Address |
783 WINCHESTER ST |
| City | PAW PAW |
| State | WV |
| Zip Code | 25434-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639693468 | Tina L Waugh | Nurse Practitioner | 783 Winchester St, Paw Paw, WV 25434 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594692 | Katherine Elaine Turner | Technician | 233 Amelia St, Paw Paw, WV 25434 | 2020-09-25 |
| 1811503857 | Allison Athey | Technician | 13 Bevans Ln, Paw Paw, WV 25434 | 2020-09-16 |
| 1669084653 | Jennifer Ellen Moreland | Technician | 94 Moreland Crt, Paw Paw, WV 25434 | 2020-08-20 |
| 1891306403 | Lisa Ann Groah | Technician | 13 Potomac St, Paw Paw, WV 25434 | 2020-08-17 |
| 1407468036 | Cynthia N Shirley | Technician | 533 Shirley Ln, Paw Paw, WV 25434 | 2020-08-17 |
| 1356952386 | Beverly Sue Kerns | Technician | 11 Dr Randolph Spencer Ln, Paw Paw, WV 25434 | 2020-08-13 |
| 1255703443 | Sencara Home Health Care | Home Health | 109 Clay Street, Suffolk, VA 25434 | 2015-10-27 |
| 1235138710 | Paw Paw Volunteer Fire Company | Ambulance | 44 Moser Avenue, Paw Paw, WV 25434 | 2005-07-18 |
| 1457469900 | Thomas Jerome Devlin | Family Medicine | 783 Winchester Street, Paw Paw, WV 25434-0002 | 2006-08-25 |
| 1669814950 | Chad Taylor Hott | Nurse Practitioner | 783 Winchester Street, Paw Paw, WV 25434-0002 | 2013-07-27 |
| Find all providers in zip 25434 | ||||
| Taxonomy Code | 261QA0005X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Family Planning Facility |
| An abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609299908 | Preston Healthcare Services LLC | Clinic/Center | 1343 N Preston Hwy, Kingwood, WV 26537-7633 | 2014-01-23 |
Please comment or provide details below to improve the information on MOUNTAINEER COMMUNITY HEALTH CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.