Mountain State Medical Associates Pllc in Charleston - Internal Medicine
Mountain State Medical Associates Pllc - NPI 1447349238
Mountain State Medical Associates Pllc is a Internal Medicine in Charleston, . Mountain State Medical Associates Pllc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mountain State Medical Associates Pllc is 1447349238. The last update date is 2015-11-05.
Mountain State Medical Associates Pllc's current location address is 300 Kenton Dr, Charleston, . You can contact this provider via phone number 3043465533 and fax number 3043465611. The mailing address for Mountain State Medical Associates Pllc is 300 Kenton Dr, Charleston, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain State Medical Associates Pllc |
|---|---|
| Address | 300 Kenton Dr, Charleston, |
| Phone Number | 3043465533 |
| Fax Number | 3043465611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bailey Dale Justin |
| Credentials | MD |
| Telephone Number | 3043465533 |
NPI Number Detail
| NPI Number | 1447349238 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2015-11-05 |
Provider Mailing Address Detail
| Address | 300 Kenton Dr |
|---|---|
| City | Charleston |
| State | (WV) |
| Post Code | 253111263 |
| Phone Number | 3043465533 |
| Fax Number | 3043465611 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 20410 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00189318 | WV | UMWA PIN NUMBER FOR THE GROUP | |
| DC7713 | WV | UMWA NUMBER FOR THE GROUP | |
| P00215125 | WV | RAILROAD NUMBER FOR THE GROUP | |
| 1706175 | WV | BLUE CROSS NUMBER FOR THE GROU | |
| 1447349238 | WV | NPI NUMBER FOR THE GROUP | |
| 3810001081 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mountain State Medical Associates Pllc by the Centers for Medicare & Medicaid Services (CMS)?
The Mountain State Medical Associates Pllc has been assigned the NPI (National Provider Identifier) 1447349238. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Mountain State Medical Associates Pllc is physically located?
The Mountain State Medical Associates Pllc is physically situated at the following address: 300 Kenton Dr, Charleston, WV, 253111263.
What is Mountain State Medical Associates Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain State Medical Associates Pllc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did the Mountain State Medical Associates Pllc receive its 1447349238?
The Mountain State Medical Associates Pllc was issued its 1447349238 on 2006-10-12, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mountain State Medical Associates Pllc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mountain State Medical Associates Pllc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-05.