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Mountain State Medical Associates Pllc

Internal Medicine Physician in Charleston, WV · enumerated 2006 · authorized official Justin Bailey, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1447349238

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Registry record

Entity type Organization (Type 2)
Legal business name Mountain State Medical Associates Pllc
Practice address 300 Kenton Dr, Suite 100, Charleston, WV, 25311
Fax (304) 346-5611
Enumeration date Oct 12, 2006
Last updated in NPPES Nov 5, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 20410 (WV) Primary

Authorized official

Name Justin Bailey
Title President

Other identifiers

Identifier Type State Issuer
P00189318 Other WV UMWA PIN NUMBER FOR THE GROUP
DC7713 Other WV UMWA NUMBER FOR THE GROUP
P00215125 Other WV RAILROAD NUMBER FOR THE GROUP
001706175 Other WV BLUE CROSS NUMBER FOR THE GROUP
1447349238 Other WV NPI NUMBER FOR THE GROUP
3810001081 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Mountain State Medical Associates Pllc?
Mountain State Medical Associates Pllc is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-11-05.