Organization
MOUNTAINEER HOME MEDICAL, LLC
Active
Parent organization
MOUNTAINEER HOME MEDICAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNTAINEER HOME MEDICAL, LLC
Authorized official
MICHELLE JACKSON (COLLECTIONS MANAGER)
(304) 225-6290
Entity
Organization
Contact information
Practice address
1411 HONAKER AVE, PRINCETON, WV 24740-3047
(888) 240-1030
(304) 225-1115
Mailing address
1411 HONAKER AVE, PRINCETON, WV 24740-3047
(888) 240-1030
(304) 225-1115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up