Healthcare Provider Details

I. General information

NPI: 1831638519
Provider Name (Legal Business Name): EAST MOUNTAIN HEALTH PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2017
Last Update Date: 12/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1008 TAVERN RD STE 202
MARTINSBURG WV
25401-2801
US

IV. Provider business mailing address

220 CAMPUS BLVD SUITE 200
WINCHESTER VA
22601
US

V. Phone/Fax

Practice location:
  • Phone: 540-536-3228
  • Fax: 540-536-3227
Mailing address:
  • Phone: 540-536-5100
  • Fax: 540-536-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number StateWV

VIII. Authorized Official

Name: DR. GERALD J BECHAMPS
Title or Position: CEO
Credential: MD
Phone: 304-822-4933