MOUNTAINEER ACCOUNTABLE CARE (NPI# 1902162092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902162092 |
| Entity Type | Organization |
| Organization Name | MOUNTAINEER ACCOUNTABLE CARE |
| Practice Address |
Rt 79 114 Bern Drive Dawes WV 25054-0070 |
| Mailing Address |
Po Box 70 Dawes WV 25054-0070 |
| Practice Telephone | 3047342040 |
| Practice Fax Number | 3047342047 |
| Mailing Telephone | 3047342040 |
| Mailing Fax Number | 3047342047 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | MR. CRAIG HALL ROBINSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3047342040 |
| Authorized Official Credential | MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
RT 79 114 BERN DRIVE |
| City | DAWES |
| State | WV |
| Zip Code | 25054-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336467117 | Debora Jean Bail | Pharmacist | 5722 Cabin Creek Drive, Dawes, WV 25054 | 2010-05-04 |
| 1225257850 | Cabin Creek Health Center, Inc. | Clinical Medical Laboratory | State Rte 79, Dawes, WV 25054 | 2007-04-24 |
| 1225194848 | Amy Wayne Brabbin | Pharmacist | State Route 79, Dawes, WV 25054 | 2006-12-28 |
| 1306921556 | Sue Ann Westfall | Family Medicine | 5722 Cabin Creek Road, Suite A, Dawes, WV 25054 | 2006-10-26 |
| 1306838685 | Brian E Sayre | Pharmacist | Sr 79, Dawes, WV 25054 | 2005-08-22 |
| 1457892705 | Dannel Karl Petgrave | Psychologist | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2017-03-19 |
| 1912440652 | Tiffany Hughes | Nurse Practitioner | 5722 Cabin Creek Road, Dawes, WV 25054 | 2016-11-29 |
| 1134582281 | Sarah Hansen | Registered Nurse | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2016-04-05 |
| 1972994788 | Jerad Lee Bailey | Pharmacist | 5722 Cabin Creek Road, Dawes, WV 25054 | 2015-02-16 |
| 1457754988 | Cabin Creek Health Center Lab | Family Medicine | 5722 Cabin Creek Rd, Dawes, WV 25054 | 2014-09-29 |
| Find all providers in zip 25054 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508171 | E. A. Hawse Health Center, Inc. | Clinic/Center | 333 Rig St, Petersburg, WV 26847-1644 | 2018-08-20 |
| 1033699087 | E. A. Hawse Health Center, Inc. | Clinic/Center | 207 Viking Dr, Petersburg, WV 26847-1674 | 2018-08-20 |
| 1659851830 | E. A. Hawse Health Center, Inc. | Clinic/Center | Us Highway 220, Moorefield, WV 26836 | 2018-08-17 |
| 1417437591 | E. A. Hawse Health Center, Inc. | Clinic/Center | 345 Caledonia Heights Rd, Moorefield, WV 26836-8455 | 2018-08-17 |
| 1548357072 | Summers County Board of Health | Clinic/Center | 151 Pleasant St, Hinton, WV 25951 | 2006-10-06 |
| 1295359941 | Met-r Integrated Health, Inc. | Clinic/Center | 123 Hovatter Dr, Inwood, WV 25428-1298 | 2020-05-28 |
| 1063932929 | Cabin Creek Health Center, Inc. | Clinic/Center | 108 Lee St E, Charleston, WV 25301-1506 | 2017-06-22 |
| 1841611571 | Megan Shickle | Clinic/Center | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2013-12-24 |
| 1669793287 | Monongahela Valley Association of Health Centers, Inc. | Clinic/Center | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2010-06-17 |
| 1316166432 | Mcdowell County Commission On Aging | Clinic/Center | 725 Stewart St, Welch, WV 24801-2125 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
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| 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.