# MOUNTAIN ROSE FAMILY MEDICINE INC

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

## Provider details

- **NPI number:** 1811211048
- **Authorized official:** DR. ELAINE S PRICE DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (304) 597-2490

## Contact information

- **Practice address:** ROUTE 4 BOX 104, KEYSER, WV 26726
- **Practice address phone:** (304) 597-2490
- **Practice address fax:** (304) 597-2492
- **Mailing address:** RT 4 BOX 104, KEYSER, WV 26726
- **Mailing address phone:** (304) 597-2490
- **Mailing address fax:** (304) 597-2492

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02095 | WV | Yes |

## Other

- **Enumeration date:** 03/17/2010
- **Last updated:** 03/17/2010