# EAST MOUNTAIN HEALTH PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST MOUNTAIN HEALTH PHYSICIANS, INC.
- **Other names:** Bensenhaver Medical Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093219628
- **Legal business name:** EAST MOUNTAIN HEALTH PHYSICIANS, INC.
- **Authorized official:** RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (540) 536-0103

## Contact information

- **Practice address:** 100 HOSPITAL DR STE 1, PETERSBURG, WV 26847-9570
- **Practice address phone:** (304) 257-1944
- **Practice address fax:** (304) 257-9524
- **Mailing address:** 220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
- **Mailing address phone:** (540) 536-5100
- **Mailing address fax:** (540) 536-0235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | WV | — |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |

## Other

- **Enumeration date:** 03/20/2018
- **Last updated:** 12/30/2020