# EAST MOUNTAIN HEALTH PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST MOUNTAIN HEALTH PHYSICIANS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659806602
- **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 OAK LEE DRIVE, RANSON, WV 25438
- **Practice address phone:** (540) 536-2200
- **Practice address fax:** (540) 536-2205
- **Mailing address:** 220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2888
- **Mailing address phone:** (540) 536-5100
- **Mailing address fax:** (540) 536-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | WV | Yes |

## Other

- **Enumeration date:** 04/27/2017
- **Last updated:** 03/23/2020