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MOUNTAINEER PEDIATRICS NPI 1245819390


NPI Information

NPI: 1245819390
Provider Name: MOUNTAINEER PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 51D2269576

Address:
100 NEW HOPE ROAD
PRINCETON, WV
ZIP 24740
Phone: (304) 207-6531
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MOUNTAINEER PEDIATRICS is a pediatrics in Princeton, WV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MOUNTAINEER PEDIATRICS NPI is 1245819390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 NEW HOPE ROAD
PRINCETON, WV
ZIP 24740
Phone: (304) 207-6531

The provider's authorized official is Heather M Miller .
The authorized official title is Administrator and has the following contact phone number (681) 207-3653.

The CLIA number assigned to this NPI record is 51D2269576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2021 and was last updated on 4/13/2021.


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
1208000000XPediatricsYes

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: 4/28/2024

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