Organization
MOUNTAIN HOSPICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD TRIMBLE RN (DIRECTOR OF OPERATIONS)
(304) 823-3922
Entity
Organization
Contact information
Practice address
1002 S CRIM AVE, BELINGTON, WV 26250-8203
(304) 823-3922
(304) 823-3926
Mailing address
1002 S CRIM AVE, BELINGTON, WV 26250-8203
(304) 823-3922
(304) 823-3926
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
22932194
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005168001
—
WV
01
—
511514
PTAN
WV
Enumeration date
08/24/2005
Last updated
06/24/2014
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