Provider Type Icon

MSRC LLC NPI 1184288623


NPI Information

NPI: 1184288623
Provider Name: MSRC, LLC

Doing Business As: MOUNTAIN STATE RECOVERY CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
102 PATRICK STREET PLZ
CHARLESTON, WV
ZIP 25387
Phone: (304) 223-3200
Get Directions

MSRC, LLC is a family medicine in Charleston, WV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MSRC, LLC NPI is 1184288623. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain State Recovery Center.

The provider's business location address is:

102 PATRICK STREET PLZ
CHARLESTON, WV
ZIP 25387-444
Phone: (304) 223-3200

The provider's authorized official is Joshua Preston Galbraith .
The authorized official title is Owner and has the following contact phone number (304) 223-3200.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 8/14/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical LaboratoryNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.