# MOUNTAINEER FAMILY CARE CENTER

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

## Provider details

- **NPI number:** 1952855264
- **Authorized official:** LORN WOLFE MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (304) 290-8874

## Contact information

- **Practice address:** 318 S MOUNTAINEER HWY, THORNTON, WV 26440-7152
- **Practice address phone:** (304) 290-8874
- **Mailing address:** 318 S MOUNTAINEER HWY, THORNTON, WV 26440-7152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016