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Council Of The Southern Mountains

Council Of The Southern Mountains is a health care provider in Northfork, WV. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 69 Main St., Old Keystone Bank Building, Keystone, WV 24868-0085, US
Practice Location Phone304-862-3144
Practice Location Fax304-862-3071
NPI ?1881716611
Entity TypeOrganization
Enumeration Date ? Apr 4, 2007
Last Update Date ? Aug 13, 2008
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Council Of The Southern Mountains

SpecialtySpecializationLicenseLicense State
Day Training, Developmentally Disabled Services 384West Virginia

legacy-id-icon Legacy Provider IDs of Council Of The Southern Mountains

Provider IdIssuer StateIssuer TypeIssuer
3810007636West VirginiaMedicaid

official-icon Authorized Official of Council Of The Southern Mountains

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Council Of The Southern Mountains's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Randal Johnson (M.A.)
Authorized Official Title/PositionEXECUTIVE DIRECTOR
Authorized Official Phone Number304-862-3144