| Organization Name: | EAST MOUNTAIN HEALTH ADVANTAGE, INC. |
| NPI Number: | 1104035328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES C LEWIS (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 549 Center Ave Romney |
| State: | WV US |
| Postal Code: | 267571352 |
| Phone Number: | 3048224561 |
| Fax Number: | 3048227809 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 08/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |