NPI 1518287051

Mountaineer Case Management

Organisation Case Management Agency Fairmont, WV

Practice location

Address: 1445 Park Side Est, Fairmont, WV 26554-6109
Phone: (304) 476-6698

Authorised official

Name: William B Dickey
Title: Administrator
Phone: (304) 476-6698

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X Licence 10211817 (WV)

Other Case Management providers in West Virginia →

Registry record

NPI: 1518287051
Entity type: Organization
NPI issued: 7 Jun 2010
Record last updated: 7 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.