=====================================================
General NPI Number Information
=====================================================
NPI Number | 1043298755
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RBM OPCO OF HOT SPRINGS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/03/2006
-----------------------------------------------------
Last Update Date | 01/02/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1 SPRING STREET
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-839-2299
-----------------------------------------------------
Fax | 540-839-2576
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1 SPRING STREET
-----------------------------------------------------
City | HOT SPRINGS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 24445
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-839-2299
-----------------------------------------------------
Fax | 540-839-2576
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF REVENUE CYCLE
-----------------------------------------------------
Name | JESSICA FERGUSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 540-265-0322
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------