Mountain Empire Pace

LBN: Mountain Empire Older Citizens, Inc
Mountain Empire Pace is an health care organization with primary practice located at 1501 3Rd Ave E , Big Stone Gap VA 24219-3115. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Mountain Empire Older Citizens, Inc can be contacted via phone (276) 523-4202, or through Wampler, Michael K via phone (276) 523-4202.

Contact Information

Primary practice address
1501 3Rd Ave E Big Stone Gap VA 24219-3115
Phone: (276) 523-4202
Fax: (276) 523-4208
Website:
Map and Directions
Authorized official contact:
Name: Wampler, Michael K
Phone: (276) 523-4202

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1184807661
LBN Legal business name Mountain Empire Older Citizens, Inc
DBA Doing business as Mountain Empire Pace
Authorized official Wampler, Michael K
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Jun 28th, 2022 - about 2 years 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 1184807661 NPPES
Other H5037 PACE

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