Mountain Transit Authority

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MOUNTAIN TRANSIT AUTHORITY

Practice address

1096 Broad Street
Summersville, WV 26651-1739

Phone

(304) 872-5872

Fax

(304) 872-5877

NPI assigned

Sep 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David L Johnson

Title

General Manager

Phone

(304) 872-5872

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174615991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 BROAD STREET",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511739",
            "telephone_number": "304-872-5872",
            "fax_number": "304-872-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 BROAD STREET",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511739",
            "telephone_number": "304-872-5872",
            "fax_number": "304-872-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TRANSIT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "304-872-5872"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8003056000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Light Mental Health LLC
• Mountain Ridge Dialysis LLC
• Mountain State Orthopedics & Sports Medicine
• Mountain State Orthopedics and Sports Medicine
• Mountain State Urgent Care
• Mountaineer Physical Therapy & Sports Medicine
• Lisa Dawn Mowery
• Christina Marie Moyers, MS, RD, LD
• Casandra June Mullens, PRSS
• Lori Mullens

• Non-emergency Medical Transport (VAN) in Summersville, WV
• Providers in Summersville, WV by specialty
• Non-emergency Medical Transport (VAN) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.