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Mountaineer Home Medical, Llc
Durable Medical Equipment & Medical Supplies in Morgantown, West Virginia
NPI 1760474852

Mountaineer Home Medical, Llc is a Durable Medical Equipment & Medical Supplies based in Morgantown, WV. Mountaineer Home Medical, Llc practices in Morgantown, WV. The NPI Number for Mountaineer Home Medical, Llc is 1760474852 and holds a License No. 770649 (West Virginia).

The current practice location address for Mountaineer Home Medical, Llc is 5000 Greenbag Road, Morgantown, WV and can be reached out via phone at 304-225-6290 and via fax at 304-225-1115.

Location: 5000 Greenbag Road, Morgantown, WV, 26501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760474852
Provider Name
Mountaineer Home Medical, Llc
Credential
Provider Entity Type
Organization
Address
5000 Greenbag Road, Morgantown, WV, 26501
Phone Number
304-225-6290
Fax Number
304-225-1115
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001704877 01 WV BLUE CROSS BLUE SHIELD
DME315 01 WV HEALTH PLAN PROVIDER #
3810001835 05 WV
407251100 05 MD
101294177 0001 05 PA
institution
Provider Business Practice Location Address Details
Address
5000 Greenbag Road
City
Morgantown
State
West Virginia
Zip
26501
Phone Number
304-225-6290
Fax Number
304-225-1115
person
Provider Business Mailing Address Details
Address
5000 Greenbag Road
City
Morgantown
State
West Virginia
Zip
26501
Phone Number
304-225-6290
Fax Number
304-225-1115
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
770649 (West Virginia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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