Mountain View Medical Center PLLC

Organization Active NPI Urgent Care Clinic/Center · Ewing, VA

NPI 1285460147 · NPPES record last updated Sep 9, 2024

Key facts

NPI
1285460147
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
MOUNTAIN VIEW MEDICAL CENTER PLLC
Practice address
126 Blakemore Mill Rd
Ewing, VA 24248-8673
Phone
(276) 240-0239
NPI assigned
Sep 9, 2024
Organization subpart
No

Authorized official

Name
Chanda McElyea
Title
Owner, NP
Phone
(276) 240-0239

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2310924Mountain View Medical, PLLC
126 Blakemore Mill Rd, Ewing, VA 24248
Certificate of waiverSep 11, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250418001817 VA Part B Supplier - Clinic/Group Practice 4082139365 Receives reassigned benefits from 1 practitioner
Practice locations: Ewing, VA

National Provider Directory

Locations

126 Blakemore Mill Rd
Ewing, VA 24248
Phone (276) 240-0239

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
Urgent Care Clinic/Center 261QU0200X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363L00000X

Addresses

Primary practice location

126 Blakemore Mill Rd
Ewing, VA 24248-8673

Mailing address

126 Blakemore Mill Rd
Ewing, VA 24248-8673

Other providers in Ewing, VA

All providers in Ewing, VA · Urgent Care Clinic/Center in Virginia

Sources for this page

Verify at the official NPI Registry.