# MOUNTAIN STATE URGENT CARE

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

## Provider details

- **NPI number:** 1992457741
- **Authorized official:** DR. WILLIAM R CARSON M.D. (PRESIDENT)
- **Authorized official phone:** (304) 900-2589

## Contact information

- **Practice address:** 4089 WEBSTER RD, SUMMERSVILLE, WV 26651-7200
- **Practice address phone:** (304) 900-2591
- **Practice address fax:** (800) 397-1586
- **Mailing address:** 4089 WEBSTER RD, SUMMERSVILLE, WV 26651-7200
- **Mailing address phone:** (304) 900-2589
- **Mailing address fax:** (800) 397-1586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2022
- **Last updated:** 03/13/2024