# EAST MOUNTAIN HEALTH PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST MOUNTAIN HEALTH PHYSICIANS, INC.
- **Other names:** Valley Health Primary Care Tavern Road
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932621919
- **Legal business name:** EAST MOUNTAIN HEALTH PHYSICIANS, INC.
- **Authorized official:** JILL CHAMBERS (MANAGER INSURANCE CREDENTIALING)
- **Authorized official phone:** (540) 536-0231

## Contact information

- **Practice address:** 1008 TAVERN RD STE 301, MARTINSBURG, WV 25401-2801
- **Practice address phone:** (681) 247-1070
- **Practice address fax:** (681) 247-1071
- **Mailing address:** 220 CAMPUS BLVD, SUITE 200, WINCHESTER, VA 22601
- **Mailing address phone:** (540) 536-5100
- **Mailing address fax:** (540) 536-0104

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2017
- **Last updated:** 03/31/2025