Healthcare Provider Details

I. General information

NPI: 1598204273
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: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 E 3RD AVE
RANSON WV
25438-1641
US

IV. Provider business mailing address

220 CAMPUS BLVD STE 320
WINCHESTER VA
22601-2889
US

V. Phone/Fax

Practice location:
  • Phone: 304-724-7200
  • Fax: 304-724-7208
Mailing address:
  • Phone: 540-536-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateWV

VIII. Authorized Official

Name: JILL CHAMBERS
Title or Position: MGR INS CREDENTIALING
Credential:
Phone: 540-536-0231