Organization
MOUNTAINEER ACCOUNTABLE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG HALL ROBINSON MPH (EXECUTIVE DIRECTOR)
(304) 734-2040
Entity
Organization
Contact information
Practice address
RT 79 114 BERN DRIVE, DAWES, WV 25054-0070
(304) 734-2040
(304) 734-2047
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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