NPI
Council of the Southern Mountains, Wv Branch, McDowell Co Chapter, Inc
NPI 1225114184
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-10-31
- Last updated
- 2020-08-22
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Specialties
Licenses
- License WV
- 3810005980
Location
- Practice location
- 69 Main Street, City of Keystone Building
- City
- Keystone WV
- Postal code
- 24868-0085
- Phone
- (304) 862-3144
Organization contact
- Name
- Randal Johnson
- Title
- Executive Director
- Phone
- (304) 862-3144
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Keystone, WV. 5 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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