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EAST MOUNTAIN HEALTH PHYSICIANS INC. NPI 1932621919


NPI Information

NPI: 1932621919
Provider Name: EAST MOUNTAIN HEALTH PHYSICIANS, INC.

Other Name: VALLEY HEALTH FAMILY MEDICINE - TAVERN ROAD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 51D1077624

Address:
1000 TAVERN RD STE 100
MARTINSBURG, WV
ZIP 25401
Phone: (304) 267-9355
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EAST MOUNTAIN HEALTH PHYSICIANS, INC. is a family medicine in Martinsburg, 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. EAST MOUNTAIN HEALTH PHYSICIANS, INC. NPI is 1932621919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Valley Health Family Medicine - Tavern Road.

The provider's business location address is:

1000 TAVERN RD STE 100
MARTINSBURG, WV
ZIP 25401-853
Phone: (304) 267-9355
Fax: (304) 267-9358

The provider's authorized official is Renee Nevada Johnson .
The authorized official title is Credentialing Coordinator and has the following contact phone number (540) 536-0103.

The CLIA number assigned to this NPI record is 51D1077624 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2017 and was last updated on 10/28/2020.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
31041C0700XSocial WorkerClinicalNo
4207Q00000XFamily 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: 4/28/2024

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