Healthcare Provider Details

I. General information

NPI: 1194361949
Provider Name (Legal Business Name): RBM OPCO OF MARTINSVILLE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 BLUE RIDGE ST
MARTINSVILLE VA
24112-7261
US

IV. Provider business mailing address

7500 SHADWELL DR STE D
ROANOKE VA
24019-5103
US

V. Phone/Fax

Practice location:
  • Phone: 276-638-8701
  • Fax:
Mailing address:
  • Phone: 540-265-0322
  • Fax: 540-265-0305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JESSICA FERGUSON
Title or Position: DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 540-265-0322