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CUMBERLAND RIVER BEHAVIORAL HEALTH INC NPI 1902023526


NPI Information

NPI: 1902023526
Provider Name: CUMBERLAND RIVER BEHAVIORAL HEALTH, INC

Other Name: CUMBERLAND RIVER COMPREHENSIVE CARE CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 18D2257227

Address:
1203 AMERICAN GREETING RD
CORBIN, KY
ZIP 40701
Phone: (606) 528-7010
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CUMBERLAND RIVER BEHAVIORAL HEALTH, INC is a community behavioral health in Corbin, KY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CUMBERLAND RIVER BEHAVIORAL HEALTH, INC NPI is 1902023526. The provider is registered as an organization entity type.
The provider Other Name Is Cumberland River Comprehensive Care Center.

The provider's business location address is:

1203 AMERICAN GREETING RD
CORBIN, KY
ZIP 40701-811
Phone: (606) 528-7010
Fax: (606) 528-5401

The provider's authorized official is Melanie Yeager .
The authorized official title is Ceo and has the following contact phone number (606) 528-7010.

The CLIA number assigned to this NPI record is 18D2257227 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
5251C00000XDay Training, Developmentally Disabled ServicesNo
6251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
117000696MEDICAIDKENTUCKY
233900051MEDICAIDKENTUCKY
345305554MEDICAIDKENTUCKY
427013010MEDICAIDKENTUCKY
528013019MEDICAIDKENTUCKY
630613038MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.