1043298755 NPI number — RBM OPCO OF HOT SPRINGS LLC

Table of content: (NPI 1043298755)

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:
Provider Other Organization Name Type Code:
6
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".




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