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Contact Information

MOUNTAINEER CARDIOLOGY PLLC
2345 CHESTERFIELD AVE STE 302
CHARLESTON, WV25304-1064
 Phone: 681-205-8610
 Fax: 681-205-8615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOUNTAINEER CARDIOLOGY PLLC

NPI Number 1336632660
LBN Legal business name MOUNTAINEER CARDIOLOGY PLLC
Authorized official JOHN GOAD - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2018
Last updated 06/12/2018 - About 8 years ago
Identifiers n/a
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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