NPI Code Details Logo

NPI 1194361949

NPI 1194361949 : RBM OPCO OF MARTINSVILLE LLC : MARTINSVILLE, VA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194361949
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RBM OPCO OF MARTINSVILLE LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/26/2019
-----------------------------------------------------
    Last Update Date     |    01/09/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    300 BLUE RIDGE ST 
-----------------------------------------------------
    City                 |    MARTINSVILLE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24112-7261
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    276-638-8701
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7500 SHADWELL DR STE D 
-----------------------------------------------------
    City                 |    ROANOKE
-----------------------------------------------------
    State                |    VA
-----------------------------------------------------
    Zip                  |    24019-5103
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    540-265-0322
-----------------------------------------------------
    Fax                  |    540-265-0305
-----------------------------------------------------

=====================================================
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 |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.