# MOUNTAINEER CASE MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1740604735
- **Authorized official:** MR. ROBERT RALPH ELBON JR. (OWNER/PRESIDENT)
- **Authorized official phone:** (304) 591-4544

## Contact information

- **Practice address:** 1859 BEVERLY PIKE, SUITE B, ELKINS, WV 26241
- **Practice address phone:** (304) 591-4544
- **Practice address fax:** (304) 591-4560
- **Mailing address:** 1859B BEVERLY PIKE, ELKINS, WV 26241
- **Mailing address phone:** (304) 591-4544
- **Mailing address fax:** (304) 591-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | UD000305954001 | WV | Yes |

## Other

- **Enumeration date:** 02/11/2014
- **Last updated:** 02/11/2014