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Mountaineer Home Medical, LLC

Durable Medical Equipment & Medical Supplies in Morgantown, WV · enumerated 2005 · authorized official Michelle Jackson, Billing Manager.

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

National Provider Identifier

1760474852

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Registry record

Entity type Organization (Type 2)
Legal business name Mountaineer Home Medical, LLC
Practice address 5000 Greenbag Road, Suite F6, Morgantown, WV, 26501
Fax (304) 225-1115
Enumeration date Aug 16, 2005
Last updated in NPPES May 1, 2026

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 770649 (WV) Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License CONTROLNUMBER72117 (WV) Primary
332BC3200X Customized Equipment (DME) Suppliers Secondary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary

Authorized official

Name Michelle Jackson
Title Billing Manager

Other identifiers

Identifier Type State Issuer
001704877 Other WV BLUE CROSS BLUE SHIELD
DME315 Other WV HEALTH PLAN PROVIDER #
3810001835 Medicaid WV -
407251100 Medicaid MD -
101294177 0001 Medicaid PA -

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 the NPI number for Mountaineer Home Medical, LLC?
The NPI for Mountaineer Home Medical, LLC is 1760474852, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Mountaineer Home Medical, LLC?
NPPES lists Michelle Jackson (Billing Manager) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-01.