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NPI Code Detail

MEDICARE: PANHANDLE HOME HEALTH INC

MEDICARE: PANHANDLE HOME HEALTH INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2001703810OTHERWVBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1174588750
Entity Type Code : Organization
Provider Name (Legal Business Name) : PANHANDLE HOME HEALTH INC
Provider Business Mailing Address
First Line : 208 OLD MILL ROAD
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-9219
Country : US
Telephone Number : 304-263-5680
Fax Number : 304-267-1532
Provider Business Practice Location Address
First Line : 208 OLD MILL ROAD
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-9219
Country : US
Telephone Number : 304-263-5680
Fax Number : 304-267-1532
Authorized Official
Title or Position : ADMINISTRATOR
Name : LISA R BIVENS
Credential :
Telephone Number : 304-263-5680
Provider Enumeration Date : 04/18/2006
Last Update Date : 12/04/2023

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