Organization
MOUNTAINEER CASE MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT RALPH ELBON JR. (OWNER/PRESIDENT)
(304) 591-4544
Entity
Organization
Contact information
Practice address
1859 BEVERLY PIKE, SUITE B, ELKINS, WV 26241
(304) 591-4544
(304) 591-4560
Mailing address
1859B BEVERLY PIKE, ELKINS, WV 26241
(304) 591-4544
(304) 591-4560
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
UD000305954001
WV
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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