Mountaineer Home Medical, Llc in Morgantown - Durable Medical Equipment & Medical Supplies
Mountaineer Home Medical, Llc - NPI 1760474852
Mountaineer Home Medical, Llc is a Durable Medical Equipment & Medical Supplies in Morgantown, . Mountaineer Home Medical, Llc practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Mountaineer Home Medical, Llc is 1760474852. The last update date is 2022-05-19.
Mountaineer Home Medical, Llc's current location address is 5000 Greenbag Road, Morgantown, . You can contact this provider via phone number 3042256290 and fax number 3042251115. The mailing address for Mountaineer Home Medical, Llc is 5000 Greenbag Road, Morgantown, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountaineer Home Medical, Llc |
|---|---|
| Address | 5000 Greenbag Road, Morgantown, |
| Phone Number | 3042256290 |
| Fax Number | 3042251115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING SP |
|---|---|
| Authorized Official Name | Jackson L Michelle |
| Telephone Number | 3042256290 |
NPI Number Detail
| NPI Number | 1760474852 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2022-05-19 |
Provider Mailing Address Detail
| Address | 5000 Greenbag Road |
|---|---|
| City | Morgantown |
| State | (WV) |
| Post Code | 26501 |
| Phone Number | 3042256290 |
| Fax Number | 3042251115 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
| Licence No | 770649 |
|
Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1704877 | WV | BLUE CROSS BLUE SHIELD | |
| DME315 | WV | HEALTH PLAN PROVIDER # | |
| 3810001835 | WV | -- | |
| 407251100 | MD | -- | |
| 101294177 0001 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mountaineer Home Medical, Llc?
The Mountaineer Home Medical, Llc has been issued the NPI (National Provider Identifier) 1760474852 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Mountaineer Home Medical, Llc is geographically located?
The Mountaineer Home Medical, Llc is physically situated at the following location: 5000 Greenbag Road, Morgantown, WV, 26501.
What is the Mountaineer Home Medical, Llc's specialty and taxonomy code?
The Mountaineer Home Medical, Llc's specialty is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code is 332B00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760474852 to Mountaineer Home Medical, Llc?
The Centers for Medicare & Medicaid Services assigned the 1760474852 to Mountaineer Home Medical, Llc on 2005-08-16.
When was the information pertaining to Mountaineer Home Medical, Llc most recently updated or revised?
The details related to Mountaineer Home Medical, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-19.