Baxter House Icf

LBN: Cumberland Mountain Community
Baxter House Icf is an health care organization with primary practice located at Route 696 , Keen Mountain VA 24624. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Cumberland Mountain Community can be contacted via phone (276) 498-4549, or through Cole, Mary F via phone (276) 964-6702.

Contact Information

Primary practice address
Route 696 Keen Mountain VA 24624
Phone: (276) 498-4549
Fax: (276) 498-4194
Website:
Map and Directions
Authorized official contact:
Name: Cole, Mary F Licensed Clinical Social Worker (LCSW)
Phone: (276) 964-6702

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 09301001 Virginia

Profile Details

NPI number 1609916386
LBN Legal business name Cumberland Mountain Community
DBA Doing business as Baxter House Icf
Authorized official Cole, Mary F Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 8th, 2007
Last updated Mar 21st, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609916386 NPPES
Virginia MEDICAID 004967810

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