Mountainside Medicine P.C. in Washington - Family Medicine
Mountainside Medicine P.C. - NPI 1790963676
Mountainside Medicine P.C. is a Family Medicine in Washington, Virginia. Mountainside Medicine P.C. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mountainside Medicine P.C. is 1790963676. The last update date is 2008-02-04.
Mountainside Medicine P.C.'s current location address is 12715 Lee Hwy, Washington, Virginia. You can contact this provider via phone number 5406753080. The mailing address for Mountainside Medicine P.C. is 12715 Lee Hwy, Washington, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountainside Medicine P.C. |
|---|---|
| Address | 12715 Lee Hwy, Washington, Virginia |
| Phone Number | 5406753080 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccue F. John |
| Credentials | D.O. |
| Telephone Number | 5406753080 |
NPI Number Detail
| NPI Number | 1790963676 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2008-02-04 |
Provider Mailing Address Detail
| Address | 12715 Lee Hwy |
|---|---|
| City | Washington |
| State | Virginia (VA) |
| Post Code | 227471933 |
| Phone Number | 5406753080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 102049877 |
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Definition: 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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5624215 | VA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mountainside Medicine P.C. by the Centers for Medicare & Medicaid Services?
The Mountainside Medicine P.C. has been assigned the NPI (National Provider Identifier) 1790963676. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mountainside Medicine P.C. is physically located?
The Mountainside Medicine P.C. is physically situated at the following address: 12715 Lee Hwy, Washington, VA, 227471933.
What is Mountainside Medicine P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mountainside Medicine P.C. is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did the Mountainside Medicine P.C. receive the assignment of its 1790963676 from the Centers for Medicare & Medicaid Services?
The Mountainside Medicine P.C. was issued its 1790963676 by the Centers for Medicare & Medicaid Services on 2008-02-04.
As of what date were the details related to Mountainside Medicine P.C. most recently updated or revised?
The information pertaining to Mountainside Medicine P.C., including its address, specialty, and other relevant details, was last updated or revised on 2008-02-04.