MOUNTAIN EMPIRE OLDER CITIZENS, INC.


Address: 1520 3rd Ave E, Big Stone Gap, VA 24219-3114
Phone: 2765234202

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based ========= VA Agencies

Other Provider IDs and Locations

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

Office Location

Street Address 1520 3RD AVE E
City BIG STONE GAP
State VA
Zip Code 24219-3114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366686180 John Edward Strange Emergency Medicine 1520 3rd Ave E, Big Stone Gap, VA 24219-3114 2009-04-23

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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Competitor

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City BIG STONE GAP
Zip Code 24219

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Dataset Information

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.

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