Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CarePROVIDENCE HEALTH CARE, INC.
Assisted Living Facility
Bluefield, Virginia
Provider NPI: 1063448835
Organization Information:Organization Name: PROVIDENCE HEALTH CARE, INC.
Practice Location:
WESTWOOD MEDICAL PARK BLUEFIELD, VA 24605 US
Tel: 276-322-5439 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
WESTWOOD MEDICAL PARK BLUEFIELD, VA 24605 US
Tel: 276-322-5439 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | VA | WOL-05-030 |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | VA | NH2726 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MOUNTAIN STATE BC/BS | 00324162 | 01 | |
| SOUTHERN HEALTH | 256688 | 01 | |
| AETNA-HMO | 970873 | 01 | |
| 004952006 | VA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin