| Mountaineer Family Practice Pllc | |
|
916 West Main Street Bridgeport WV 26330-0119 | |
| (304) 842-1035 | |
| Not Available |
| Full Name | Mountaineer Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 916 West Main Street, Bridgeport, West Virginia |
| Authorized Official Name and Position | James Blair Hill (OWNER) |
| Authorized Official Contact | 3048421035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountaineer Family Practice Pllc Po Box 119 916 West Main Street Bridgeport WV 26330-0119 Ph: (304) 842-1035 | Mountaineer Family Practice Pllc 916 West Main Street Bridgeport WV 26330-0119 Ph: (304) 842-1035 |
| NPI Number | 1659303196 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659303196 | NPI | - | NPPES |
| 3810005030 | Medicaid | WV | |
| 001875187 | Other | WV | MOUNTAIN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV1976 (West Virginia) | Primary |
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