Mountaineer Case Management LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

UD000305954001 Issued in WV

Legal business name

MOUNTAINEER CASE MANAGEMENT LLC

Practice address

1859 Beverly Pike
Suite B
Elkins, WV 26241

Phone

(304) 591-4544

Fax

(304) 591-4560

NPI assigned

Feb 11, 2014

Last updated

Feb 11, 2014By 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

Mr. Robert Ralph Elbon Jr.

Title

Owner/President

Phone

(304) 591-4544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1740604735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1859B BEVERLY PIKE",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-591-4544",
            "fax_number": "304-591-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1859 BEVERLY PIKE",
            "address_2": "SUITE B",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "26241",
            "telephone_number": "304-591-4544",
            "fax_number": "304-591-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "ELBON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "304-591-4544",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WV",
            "license": "UD000305954001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Morris
• Mary A Morris
• Barbara Morton
• Dean Mosman-Equerme
• David Kent Moss I, DDS
• Mountaineer Home Care Services LLC
• Mountaineer Home Care Services LLC
• Mountaineer Optical Inc
• Mountaineer Pulmonology, PLLC
• Samantha Mouser

• Health Maintenance Organization in Elkins, WV
• Providers in Elkins, WV by specialty
• Health Maintenance Organization in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.