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Organization

EAST MOUNTAIN HEALTH PHYSICIANS, INC.

Active
Parent organization
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Other names
Bensenhaver Medical Practice
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Authorized official
RENEE NEVADA JOHNSON (CREDENTIALING COORDINATOR)
(540) 536-0103
Entity
Organization

Contact information

Practice address
100 HOSPITAL DR STE 1, PETERSBURG, WV 26847-9570
(304) 257-1944
(304) 257-9524
Mailing address
220 CAMPUS BLVD STE 200, WINCHESTER, VA 22601-2889
(540) 536-5100
(540) 536-0235

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
WV
207Q00000X
Family Medicine Physician
Primary
208800000X
Urology Physician

Other

Enumeration date
03/20/2018
Last updated
12/30/2020
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