Mountaineer Low Air Loss Mattress & Medical Equipment Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MOUNTAINEER LOW AIR LOSS MATTRESS & MEDICAL EQUIPMENT INC.

Practice address

69 Walnut St
Suite a
Shinnston, WV 26431-1139

Phone

(304) 592-5045

Fax

(304) 592-1963

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Miss Rebecca Ann Lesher

Title

Vice President

Phone

(304) 592-5045

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• MedCareAmerica Doing business as

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336226232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WALNUT ST",
            "address_2": "SUITE A",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311139",
            "telephone_number": "304-592-5045",
            "fax_number": "304-592-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WALNUT ST",
            "address_2": "SUITE A",
            "city": "SHINNSTON",
            "state": "WV",
            "postal_code": "264311139",
            "telephone_number": "304-592-5045",
            "fax_number": "304-592-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER LOW AIR LOSS MATTRESS & MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LESHER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "304-592-5045",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MASS",
            "identifier": "ZRL141",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000157551",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTA FREEDOM",
            "identifier": "575441",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN  UPPER OHIO VALLEY",
            "identifier": "WV50700",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000340852",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001598",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007260569",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WEST VIRGINIA",
            "identifier": "001705553",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS HEALTH PLANS, INC.",
            "identifier": "1059205",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ MOUNTAIN STATE",
            "identifier": "001705553",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCareAmerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Paul Minigh, DDS
• Monongahela Valley Association of Health Centers, Inc.
• Monongahela Valley Association of Health Centers, Inc.
• Skyanne N Morlock
• Kristian M Morrison, MD
• Cynthia Lynn Nosack
• Evan Nuzum
• Kathleen Jayne Orem, RDH
• Jennifer Ozzbourne
• Christopher Kenneth Pagano, D.D.S.

• Customized Equipment (DME) in Shinnston, WV
• Providers in Shinnston, WV by specialty
• Customized Equipment (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.