1043298755 NPI number — RBM OPCO OF HOT SPRINGS LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043298755 NPI number — RBM OPCO OF HOT SPRINGS LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RBM OPCO OF HOT SPRINGS LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE SPRINGS NURSING AND REHAB CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043298755
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 SPRING STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOT SPRINGS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24445
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-839-2299
Provider Business Mailing Address Fax Number:
540-839-2576

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 SPRING STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOT SPRINGS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24445
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-839-2299
Provider Business Practice Location Address Fax Number:
540-839-2576
Provider Enumeration Date:
01/03/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
FERGUSON
Authorized Official First Name:
JESSICA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF REVENUE CYCLE
Authorized Official Telephone Number:
540-265-0322

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 004950224 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 193298 . This is a "ANTHEM BC BS" identifier . This identifiers is of the category "OTHER".