| Mountain Cap Of West Virginia Inc. | |
|
26 N Kanawha St Ste 201 Buckhannon WV 26201-2714 | |
| (304) 472-1500 | |
| (304) 472-9064 |
| Full Name | Mountain Cap Of West Virginia Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 26 N Kanawha St Ste 201, Buckhannon, West Virginia |
| Authorized Official Name and Position | Kathy Mcmurray (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3044721500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Cap Of West Virginia Inc. 26 N Kanawha St Ste 201 Buckhannon WV 26201-2714 Ph: (304) 472-1500 | Mountain Cap Of West Virginia Inc. 26 N Kanawha St Ste 201 Buckhannon WV 26201-2714 Ph: (304) 472-1500 |
| NPI Number | 1245753250 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245753250 | NPI | - | NPPES |
| 3810003013 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | DP00945017 (West Virginia) | Primary |
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