| Organization Name: | MOUNTAINEER HEALTHCARE, PLLC |
| NPI Number: | 1821145301 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUBINA TASNEEM KHAN (OFFICE MANAGER) |
| Mailing Address: | 1500 Terrace St Hinton |
| State: | WV US |
| Postal Code: | 25951 |
| Phone Number: | 3044662933 |
| Fax Number: | 3044662932 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 10/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |