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Contact Information

MOUNTAIN KIDS, INC.
200 EAST RIVERSIDE DRIVE
NORTH TAZEWELL, VA24630
 Phone: 276-988-5583
 Fax: 276-979-1441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MOUNTAIN KIDS, INC.

NPI # 1235140716
LBN Legal business name MOUNTAIN KIDS, INC.
Authorized official MARCUS BUSKILL - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VA License # 0401411127
VA Medicaid 9182558
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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