Provider Demographics
NPI:1598385205
Name:MOUNTAIN HEALTH CLINICAL SOLUTIONS
Entity Type:Organization
Organization Name:MOUNTAIN HEALTH CLINICAL SOLUTIONS
Other - Org Name:MOUNTAIN HEALTH CLINICAL SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-833-4681
Mailing Address - Street 1:2561 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25703-1642
Mailing Address - Country:US
Mailing Address - Phone:681-230-0330
Mailing Address - Fax:866-872-6650
Practice Address - Street 1:2561 3RD AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25703-1642
Practice Address - Country:US
Practice Address - Phone:681-230-0330
Practice Address - Fax:866-872-6650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-22
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory