Potomac

LBN: Rscr West Virginia, Inc.
Potomac is an health care organization with primary practice located at 1600 Cornell St , Keyser WV 26726-2140. 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. Rscr West Virginia, Inc. can be contacted via phone (304) 788-0101, or through Ombres, Deena G. via phone (502) 394-2387.

Contact Information

Primary practice address
1600 Cornell St Keyser WV 26726-2140
Phone: (304) 788-0101
Fax: (304) 788-8097
Website:
Map and Directions
Authorized official contact:
Name: Ombres, Deena G.
Phone: (502) 394-2387

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 383 West Virginia

Profile Details

NPI number 1629133269
LBN Legal business name Rscr West Virginia, Inc.
DBA Doing business as Potomac
Authorized official Ombres, Deena G.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Nov 21st, 2011 - about 13 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 1629133269 NPPES
West Virginia MEDICAID 0005499005

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