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General NPI Number Information
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NPI Number | 1700687530
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Entity Type | Organization
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Legal Business Name | CMH HEALTH CARE LLC
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 2730 WASHINGTON BLVD STE 100
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City | BELPRE
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State | OH
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Zip | 45714-1943
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Country | US
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Telephone | 740-760-1299
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Fax | 740-736-2036
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Provider Business Mailing Address
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Address Line | 2730 WASHINGTON BLVD STE 100
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City | BELPRE
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State | OH
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Zip | 45714-1943
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Country | US
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Telephone | 740-760-1299
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Fax | 740-736-2036
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Authorized Official
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Title or Position | DIRECTOR
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Name | LANCE MAYBERRY
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Credential |
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Telephone | 740-760-1299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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