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
-
Chanda McElyea, NP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2310924 | Mountain View Medical, PLLC | Certificate of waiver | Sep 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
126 Blakemore Mill Rd
Ewing, VA 24248-8673
Mailing address
126 Blakemore Mill Rd
Ewing, VA 24248-8673
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All providers in Ewing, VA · Urgent Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.