# MOUNTAIN REGION FAMILY MEDICINE, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740292366
- **Authorized official:** MRS. MICHELLE Y REPASS (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (276) 386-3411

## Contact information

- **Practice address:** 390 KANE ST, GATE CITY, VA 24251-3407
- **Practice address phone:** (276) 386-3411
- **Practice address fax:** (276) 286-2492
- **Mailing address:** 390 KANE ST, GATE CITY, VA 24251-2753
- **Mailing address phone:** (276) 386-3411
- **Mailing address fax:** (276) 386-3492

## Taxonomy

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

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 02/16/2016