Organization Active NPI

Mountain Medical PC, LLC

Doing business as Moutain Medical

  • Urgent Care Clinic/Center
  • Moorefield, WV
National Provider Identifier
1699814020
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MOUNTAIN MEDICAL PC, LLC
Doing business as
Moutain Medical
Practice address
747 N Main St
Suite C
Moorefield, WV 26836-1020
Phone
(304) 530-8500
Fax
(304) 530-8505
NPI assigned
Feb 5, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Matthew Levy, MD
Title
Director of Medical Services
Phone
(304) 530-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X WV Primary

Addresses

Primary practice location

747 N Main St
Suite C
Moorefield, WV 26836-1020

Mailing address

747 N Main St
Suite C
Moorefield, WV 26836-1020
Phone (304) 530-8500

Other names 1

  • Moutain Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699814020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N MAIN ST",
            "address_2": "SUITE C",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361020",
            "telephone_number": "304-530-8500",
            "fax_number": "304-530-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 N MAIN ST",
            "address_2": "SUITE C",
            "city": "MOOREFIELD",
            "state": "WV",
            "postal_code": "268361020",
            "telephone_number": "304-530-8500",
            "fax_number": "304-530-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL PC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "304-530-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moutain Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorefield, WV

Sources for this page

  • 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.