MOUNTAIN STATE URGENT CARE
NPI 1992457741
Clinic/Center - Urgent Care in Summersville, WV

Active since January 24, 2022CLIA 51D2252134 · Waiver
4089 WEBSTER RD, SUMMERSVILLE, WV 26651(304) 900-2591(800) 397-1586 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Jan 24, 2022 (2 updates tracked since 2022).

About Mountain State Urgent Care NPPES

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

MOUNTAIN STATE URGENT CARE (NPI 1992457741) is a healthcare organization registered as an urgent care in Summersville, West Virginia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists William R Carson, President, as its authorized official.

NPPES Registry Identity

NPI1992457741
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMOUNTAIN STATE URGENT CARE
Location Address4089 WEBSTER RDSummersville, WV 26651-7200
Mailing Address4089 Webster RdSummersville, WV 26651-7200 · (304) 900-2589 · Fax (800) 397-1586
Fax(800) 397-1586
Organization SubpartNo
Authorized OfficialWilliam R CarsonPresident · (304) 900-2589
Enumeration DateJanuary 24, 2022
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
NPI 1992457741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X
4089 WEBSTER RD, Summersville, WV 26651

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

Accepted Insurance

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 51D2252134

Mountain State Urgent Care · Summersville, WV
Active · expires Feb 8, 2028
CLIA Number51D2252134
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorWilliam R. Carson
Laboratory Phone(304) 382-3882
Laboratory LocationMountain State Urgent Care4089 W Webster Road, Summersville, WV 26651
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery (Sports Medicine)
4089 WEBSTER RD
SUMMERSVILLE, WV 26651

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 Mountain State Urgent Care's NPI number?

The NPI number for Mountain State Urgent Care is 1992457741. It was assigned to this organization in the NPPES registry on January 24, 2022.

Where is Mountain State Urgent Care located?

Mountain State Urgent Care is located at 4089 Webster Rd, Summersville, WV 26651. The listed phone number is (304) 900-2591.

What is Mountain State Urgent Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Mountain State Urgent Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2252134) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountain State Urgent Care accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mountain State Urgent Care as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain State Urgent Care was last updated on March 13, 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.