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MOUNTAINEER FAMILY MEDICINE, INC.
NPI 1346080702
Family Medicine in Welch, WV

Active since May 31, 2024CLIA 51D2275064 · Waiver
794 VIRGINIA AVE, WELCH, WV 24801(681) 201-2064 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1346080702) is a healthcare organization registered as a family medicine in Welch, West Virginia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Victoria Warner, Billing Director, as its authorized official.

NPPES Registry Identity

NPI1346080702
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOUNTAINEER FAMILY MEDICINE, INC.
Location Address794 VIRGINIA AVEWelch, WV 24801-2339
Mailing Address5240 Maccorkle Ave SeCharleston, WV 25304-2122 · (681) 264-4986
Phone(681) 201-2064
Organization SubpartNo
Authorized OfficialVictoria WarnerBilling Director · (681) 264-4986
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
✔ NPI 1346080702 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.
794 VIRGINIA AVE, Welch, WV 24801
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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

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 51D2275064

Mountaineer Family Medicine - Welch Office · Welch, WV
Active · expires Jan 16, 2027
CLIA Number51D2275064
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorDr. Mohamad S. Kalou
Laboratory Phone(681) 201-2064
Laboratory LocationMountaineer Family Medicine - Welch Office794 Virginia Avenue, Welch, WV 24801
CLIA data matches this NPI record on: Address 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 1346080702. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Mountaineer Family Medicine, Inc. located?

Mountaineer Family Medicine, Inc. is located at 794 Virginia Ave, Welch, WV 24801. The listed phone number is (681) 201-2064.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2275064) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountaineer Family Medicine, Inc. was last updated on May 31, 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.