Organization
MOUNTAINEER COMMUNITY HEALTH CENTER, INC.
Active
Organization
MOUNTAINEER COMMUNITY HEALTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA THOMAS (CEO)
(304) 947-5500
Entity
Organization
Contact information
Practice address
783 WINCHESTER ST, PAW PAW, WV 25434-0002
(304) 947-5500
(304) 947-5563
Mailing address
PO BOX 2, 783 WINCHESTER ST, PAW PAW, WV 25434-0002
(304) 947-5500
(304) 947-5563
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035343000
—
WV
01
—
CC5660
RRMC
WV
Enumeration date
10/16/2006
Last updated
08/13/2026
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