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Organization

MOUNTAIN TRANSIT AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID L JOHNSON (GENERAL MANAGER)
(304) 872-5872
Entity
Organization

Contact information

Practice address
1096 BROAD STREET, SUMMERSVILLE, WV 26651-1739
(304) 872-5872
(304) 872-5877
Mailing address
1096 BROAD STREET, SUMMERSVILLE, WV 26651-1739
(304) 872-5872
(304) 872-5877

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8003056000
WV
Enumeration date
09/29/2006
Last updated
08/22/2020
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