1. Home
  2. Directory
  3. West Virginia
  4. Gilbert
  5. Family Medicine
  6. NPI Profile

MOUNTAINEER FAMILY MEDICINE, INC.
NPI 1265273940
Family Medicine in Gilbert, WV

Active since June 05, 2024CLIA Certified · 2 labs
87 STAFFORD BRIDGE RD, GILBERT, WV 25621(304) 664-1219 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mountaineer Family Medicine, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAINEER FAMILY MEDICINE, INC. (NPI 1265273940) is a healthcare organization registered as a family medicine in Gilbert, West Virginia and active in the NPI registry since June 2024. The organization holds 2 active CLIA laboratory certificates and lists Victoria Warner, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1265273940
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAINEER FAMILY MEDICINE, INC.
Location Address87 STAFFORD BRIDGE RDGilbert, WV 25621
Mailing Address5240 Maccorkle Ave SeCharleston, WV 25304-2122 · (681) 264-4986
Phone(304) 664-1219
Organization SubpartNo
Authorized OfficialVictoria WarnerBilling Director · (681) 264-4986
Enumeration DateJune 5, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1265273940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
87 STAFFORD BRIDGE RD, Gilbert, WV 25621
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2246184

Mountaineer Family Medicine - Charleston · Charleston, WV
Active · expires Dec 20, 2027
CLIA Number51D2246184
Laboratory TypePhysician Office
Certificate Effective DateDecember 21, 2025
Certificate Expiration DateDecember 20, 2027
Laboratory DirectorDr. Mohamad S. Kalou
Laboratory Phone(304) 487-3487
Laboratory LocationMountaineer Family Medicine - Charleston5240 Maccorkle Ave, SE, Charleston, WV 25304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 51D2244872

Mountaineer Family Medicine - Gilbert · Gilbert, WV
Active · expires Dec 6, 2027
CLIA Number51D2244872
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2025
Certificate Expiration DateDecember 6, 2027
Laboratory DirectorDr. Mohamad S. Kalou
Laboratory Phone(304) 664-1219
Laboratory LocationMountaineer Family Medicine - Gilbert87 Stafford Branch Rd, Gilbert, WV 25621
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountaineer Family Medicine, Inc.'s NPI number?

The NPI number for Mountaineer Family Medicine, Inc. is 1265273940. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Mountaineer Family Medicine, Inc. located?

Mountaineer Family Medicine, Inc. is located at 87 Stafford Bridge Rd, Gilbert, WV 25621. The listed phone number is (304) 664-1219.

What is Mountaineer Family Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mountaineer Family Medicine, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mountaineer Family Medicine, Inc. was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.