Organization
MOUNTAINEER FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BLAIR HILL DO (OWNER)
(304) 842-1035
Entity
Organization
Contact information
Practice address
916 WEST MAIN STREET, BRIDGEPORT, WV 26330-0119
(304) 842-1035
Mailing address
PO BOX 119, 916 WEST MAIN STREET, BRIDGEPORT, WV 26330-0119
(304) 842-1035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV1976
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001875187
MOUNTAIN STATE BCBS
WV
05
—
3810005030
—
WV
Enumeration date
07/07/2006
Last updated
05/12/2008
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