Organization
COUNCIL OF THE SOUTHERN MOUNTAINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDAL JOHNSON M.A. (EXECUTIVE DIRECTOR)
(304) 862-3144
Entity
Organization
Contact information
Practice address
69 MAIN ST., OLD KEYSTONE BANK BUILDING, KEYSTONE, WV 24868-0085
(304) 862-3144
(304) 862-3071
Mailing address
PO BOX 85, NORTHFORK, WV 24868-0085
(304) 862-3144
(304) 862-3071
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
384
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810007636
—
WV
Enumeration date
04/04/2007
Last updated
08/13/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us