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: July 19, 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
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

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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
51D2275064
Facility Type
Physician Office
Certificate Effective Date
January 17, 2025
Certificate Expiration Date
January 16, 2027
Laboratory Director
DR. MOHAMAD S. KALOU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mountaineer Family Medicine, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346080702, enumerated as an "organization" on May 31, 2024.

The provider is located at 794 VIRGINIA AVE WELCH, WV 24801 and the phone number is (681) 201-2064.

Family Medicine with taxonomy code 207Q00000X.