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NPI Code Detail

MEDICARE: CUMBERLAND MOUNTAIN COMMUNITY SERVICES

MEDICARE: CUMBERLAND MOUNTAIN COMMUNITY SERVICES
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
1261QM1300XMulti-Specialty Clinic/Center
2347C00000XPrivate Vehicle
3251S00000XCommunity/Behavioral 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

General Provider Information

NPI Number : 1235125055
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND MOUNTAIN COMMUNITY SERVICES
Provider Business Mailing Address
First Line : PO BOX 810
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-0810
Country : US
Telephone Number : 276-964-6702
Fax Number : 276-964-5669
Provider Business Practice Location Address
First Line : 113 CUMBERLAND RD
Second Line :
City : CEDAR BLUFF
State : VA
Zip : 24609-1137
Country : US
Telephone Number : 276-964-6702
Fax Number : 276-964-5669
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. MARY F. COLE
Credential : LCSW
Telephone Number : 276-964-6702
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/21/2024

Similar Medicare Providers

1780046003 — JIMMIE MARIE PERKINS LPC
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax: 276-964-0292
1639688815 — ALYSSA DAWN COX COTA/L
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax:
1477067668 — CARY MARIE STEFFEY LCSW
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax: 276-964-0292
1902381965 — MRS. CHEYENNE MUSSER GARDNER PT
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax: 276-964-0292
1730658758 — DAVID RAY DINGUS LPC
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax: 276-964-0292
1386108132 — JUSTIN CRAIG TROUT LPC
Practice Location Address:
196 CUMBERLAND RD
CEDAR BLUFF, VA
24609-1137
Practice Phone: 276-964-6702
Practice Fax: 276-964-0292

Directions to “CUMBERLAND MOUNTAIN COMMUNITY SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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