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Contact Information

MOUNTAINEER GASTROENTEROLOGY INC
1100 CEDAR VALLEY DR,
CEDAR BLUFF, VA24609
 Phone: 276-596-9980
 Fax: 276-596-9981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for MOUNTAINEER GASTROENTEROLOGY INC

NPI Number 1619164365
LBN Legal business name MOUNTAINEER GASTROENTEROLOGY INC
Authorized official THOMAS CORTELLESI - (OWNER/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2007
Last updated 09/21/2010 - About 16 years ago
Identifiers
VA License # 0102037199
WV License # 1732
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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