MOUNTAIN EMPIRE OLDER CITIZENS, INC. (NPI# 1972534659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972534659 |
Entity Type | Organization |
Organization Name | MOUNTAIN EMPIRE OLDER CITIZENS, INC. |
Practice Address |
1520 3rd Ave E Big Stone Gap VA 24219-3114 |
Mailing Address |
1520 3rd Ave E P. O. Box 888 Big Stone Gap VA 24219-3114 |
Practice Telephone | 2765234202 |
Practice Fax Number | 2765234208 |
Mailing Telephone | 2765234202 |
Mailing Fax Number | 2765234208 |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MARILYN PACE MAXWELL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2765234202 |
Authorized Official Credential | M.S.W. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | ========= | VA | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184807661 | Mountain Empire Older Citizens, Inc. | PACE Provider Organization | 1-a Industrial Park Drive, Big Stone Gap, VA 24219-0888 | 2007-12-07 |
Street Address |
1520 3RD AVE E |
City | BIG STONE GAP |
State | VA |
Zip Code | 24219-3114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366686180 | John Edward Strange | Emergency Medicine | 1520 3rd Ave E, Big Stone Gap, VA 24219-3114 | 2009-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609408962 | Dillon Wayne Roberts | Private Vehicle | 2101 Seterra St, Big Stone Gap, VA 24219 | 2020-02-05 |
1609427525 | Joan M Daniel | Technician | 800 Buffalo Ridge Road, Big Stone Gap, VA 24219 | 2019-09-23 |
1932634953 | Big Stone Economy Drug Inc | Pharmacy | 205 East 5th Street North, Big Stone Gap, VA 24219 | 2017-04-27 |
1639519655 | Family Preservation Services, Inc. | Community/Behavioral Health | Two Champions Avenue, Big Stone Gap, VA 24219 | 2013-07-05 |
1134464456 | Family Preservation Services, Inc | Community/Behavioral Health | 212 Monta Vista Lane, Big Stone Gap, VA 24219 | 2012-11-28 |
1902158892 | Tommie Jo Harding | Registered Nurse | 1508 Third Ave East, Big Stone Gap, VA 24219 | 2012-10-03 |
1366793002 | Rebecca Ely Johnson | Registered Nurse | 1508 3rd Ave. East, Big Stone Gap, VA 24219 | 2012-09-20 |
1770833238 | Melinda Dawn Hamm | Licensed Practical Nurse | 1508 3rd Ave East, Big Stone Gap, VA 24219 | 2012-09-12 |
1801197470 | Family Preservation Services, Inc. | Community/Behavioral Health | 170 Mountain View Circle, Big Stone Gap, VA 24219 | 2010-11-12 |
1245498062 | Joshua Heath Dalton | Neuromusculoskeletal Medicine & OMM | 14 East 27st N, Ste 2, Big Stone Gap, VA 24219 | 2008-05-29 |
Find all providers in zip 24219 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
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Find all providers with the same taxonomy |
City | BIG STONE GAP |
Zip Code | 24219 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.