1508116641 NPI number — WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.

Table of content: ELLEN LEHMAN MUMAW WHNP (NPI 1043520141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508116641 NPI number — WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WESTMINSTER-CANTERBURY OF LYNCHBURG, INC.
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:
1508116641
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3311 OLD FOREST RD
Provider Second Line Business Mailing Address:
SUITE 201
Provider Business Mailing Address City Name:
LYNCHBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24501-2912
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-386-3800
Provider Business Mailing Address Fax Number:
434-455-4905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3311 OLD FOREST RD
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24501-2912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-386-3800
Provider Business Practice Location Address Fax Number:
434-455-4905
Provider Enumeration Date:
09/17/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SWEENEY
Authorized Official First Name:
LORI
Authorized Official Middle Name:
ROBERTSON
Authorized Official Title or Position:
VICE PRESIDENT HEALTH SERVICES
Authorized Official Telephone Number:
434-386-3572

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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