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MOUNTAIN EMPIRE OLDER CITIZENS INC. NPI 1972534659


NPI Information

NPI: 1972534659
Provider Name: MOUNTAIN EMPIRE OLDER CITIZENS, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1501 THIRD AVENUE EAST
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 523-4202
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MOUNTAIN EMPIRE OLDER CITIZENS, INC. is a hospice care community based in Big Stone Gap, VA. MOUNTAIN EMPIRE OLDER CITIZENS, INC. NPI is 1972534659. The provider is registered as an organization entity type.

The provider's business location address is:

1501 THIRD AVENUE EAST
BIG STONE GAP, VA
ZIP 24219-114
Phone: (276) 523-4202
Fax: (276) 523-4208

The provider's authorized official is Michael K Pease .
The authorized official title is Executive Director and has the following contact phone number (276) 523-4202.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 7/21/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1253Z00000XIn Home Supportive CareNo
2251G00000XHospice Care, Community BasedVIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010179238MEDICAIDVIRGINIA
2009105077MEDICAIDVIRGINIA
3008700192MEDICAIDVIRGINIA
4008730857MEDICAIDVIRGINIA
5008740259MEDICAIDVIRGINIA
6008770042MEDICAIDVIRGINIA

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: 5/5/2024

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