| Mountain Care Network | |
|
1021 Quarrier St Ste 310 Charleston WV 25301-2338 | |
| (304) 513-3900 | |
| (304) 988-4424 |
| Full Name | Mountain Care Network |
|---|---|
| Speciality | Social Worker |
| Location | 1021 Quarrier St Ste 310, Charleston, West Virginia |
| Authorized Official Name and Position | Crystal Price (OWNER) |
| Authorized Official Contact | 3044198890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Care Network 1021 Quarrier St Ste 310 Charleston WV 25301-2338 Ph: (304) 513-3900 | Mountain Care Network 1021 Quarrier St Ste 310 Charleston WV 25301-2338 Ph: (304) 513-3900 |
| NPI Number | 1609459189 |
|---|---|
| Provider Enumeration Date | 05/03/2021 |
| Last Update Date | 05/03/2021 |
| Certification Date | 05/03/2021 |
| Medicare PECOS PAC ID | 8022443852 |
|---|---|
| Medicare Enrollment ID | O20220622003495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609459189 | NPI | - | NPPES |
| WVTPID-010386 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Crystal Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821540279 PECOS PAC ID: 9830438449 Enrollment ID: I20200123002460 |
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