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.
|Practice Location|| 69 Main St., Old Keystone Bank Building, Keystone, WV 24868-0085, US |
|Practice Location Phone||304-862-3144|
|Practice Location Fax||304-862-3071|
|Legal Business Name||COUNCIL OF THE SOUTHERN MOUNTAINS|
|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).
Specialties & Licenses of Council Of The Southern Mountains
|Specialty||Provider Type||Specialization||License||License State|
|Day Training, Developmentally Disabled Services||Agencies|| ||384||West Virginia|
Legacy Provider IDs of Council Of The Southern Mountains
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||EXECUTIVE DIRECTOR|
|Authorized Official Phone Number||304-862-3144|