MEDICARE: STAMPER'S HEALTH ENTERPRISES, 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
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245212265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAMPER'S HEALTH ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	PO BOX 257
Second Line	:
City	:	RURAL RETREAT
State	:	VA
Zip	:	24368-0257
Country	:	US
Telephone Number	:	276-686-6321
Fax Number	:	276-686-6160

Provider Business Practice Location Address
First Line	:	544 N MAIN ST
Second Line	:
City	:	RURAL RETREAT
State	:	VA
Zip	:	24368-3123
Country	:	US
Telephone Number	:	276-686-6321
Fax Number	:	276-686-6160

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MS. JOY STAMPER
Credential	:	RN
Telephone Number	:	276-686-6321

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	03/15/2012

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