1093882003 NPI number — CUMBERLAND MOUNTAIN COMMUNITY SERVICES

Table of content: (NPI 1093882003)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093882003 NPI number — CUMBERLAND MOUNTAIN COMMUNITY SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CUMBERLAND MOUNTAIN COMMUNITY SERVICES
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 LAURELS
Provider Other Organization Name Type Code:
5
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:
1093882003
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 810
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CEDAR BLUFF
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24609-0810
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-889-3063
Provider Business Mailing Address Fax Number:
276-889-5005

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
102 KEMP STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24266
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-889-3063
Provider Business Practice Location Address Fax Number:
276-889-5005
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PEAY
Authorized Official First Name:
JANE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SUBSTANCE ABUSE DIRECTOR
Authorized Official Telephone Number:
276-964-6702

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  09301006 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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