Organization
MOUNTAINEER LOW AIR LOSS MATTRESS & MEDICAL EQUIPMENT INC.
Active
Other names
MedCareAmerica
Organization subpart
No
Provider details
NPI number
Authorized official
MISS REBECCA ANN LESHER (VICE PRESIDENT)
(304) 592-5045
Entity
Organization
Contact information
Practice address
69 WALNUT ST, SUITE A, SHINNSTON, WV 26431-1139
(304) 592-5045
(304) 592-1963
Mailing address
69 WALNUT ST, SUITE A, SHINNSTON, WV 26431-1139
(304) 592-5045
(304) 592-1963
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000340852
ANTHEM
WV
05
—
000000157551
—
OH
01
—
0007260569
AETNA
WV
01
—
001705553
BC/BS OF WEST VIRGINIA
WV
01
—
1059205
CAREPLUS HEALTH PLANS, INC.
WV
05
—
18003
—
PA
05
—
3810001598
—
WV
01
—
575441
ADVANTA FREEDOM
WV
01
—
WV50700
HEALTH PLAN UPPER OHIO VALLEY
WV
01
—
ZRL141
BC/BS MASS
MS
Enumeration date
11/01/2006
Last updated
07/21/2022
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