Mountaineer Wellness and Recovery Centers LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MOUNTAINEER WELLNESS AND RECOVERY CENTERS LLC

Practice address

310 George St
Beckley, WV 25801-2653

Phone

(304) 552-2261

NPI assigned

Jan 8, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather M Miller

Title

Administrator

Phone

(681) 238-3344

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1013557982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012653",
            "telephone_number": "681-207-3652",
            "fax_number": "681-207-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012653",
            "telephone_number": "304-552-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER WELLNESS AND RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "681-238-3344"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013557982",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain State Home Health Care, Inc.
• Mountain State Vascular, Inc.
• Mountaineer Cardiovascular Care Inc
• Mountaineer Family Medicine Inc
• Mountaineer Home Medical, LLC
• Daniel Moye II
• Brittany Mullens
• Adrienne Mullins
• James Russell Mullins
• Norma J Mullins, MD

• Medical Specialty Clinic/Center in Beckley, WV
• Providers in Beckley, WV by specialty
• Medical Specialty Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.