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Organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Active
Organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Active
Parent organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Other names
Valley Health Family Medicine Hedgesville
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization
Contact information
Practice address
3790 HEDGESVILLE RD STE H, HEDGESVILLE, WV 25427-6704
(304) 754-7160
(304) 754-7244
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
(540) 536-5100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
10/28/2020
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