DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC

MEDICARE: CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
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
12084P0800XPsychiatry Physician35016KY
2363LP0808XPsychiatric/Mental Health Nurse Practitioner3220PKY
32084P0804XChild & Adolescent Psychiatry Physician35016KY

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 : 1659381580
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
Provider Business Mailing Address
First Line : 1675 S MAIN ST
Second Line :
City : LONDON
State : KY
Zip : 40741-2050
Country : US
Telephone Number : 606-878-1961
Fax Number : 606-877-1958
Provider Business Practice Location Address
First Line : 1675 S MAIN ST
Second Line :
City : LONDON
State : KY
Zip : 40741-2050
Country : US
Telephone Number : 606-878-1961
Fax Number : 606-877-1958
Authorized Official
Title or Position : OWNER
Name : RAQUEL F. VASQUEZ
Credential : MD
Telephone Number : 606-878-1961
Provider Enumeration Date : 08/09/2006
Last Update Date : 01/05/2010

Similar Medicare Providers

1730135138 — EMMANUEL C. YUMANG M.D.
Practice Location Address:
73 THOMPSON POYNTER ROAD , SUITE A
LONDON, KY
40741-2050
Practice Phone: 606-877-1446
Practice Fax: 606-877-1285
1932129343 — DR. RICHARD E SKRIP JR. DPM
Practice Location Address:
1675 S MAIN ST
LONDON, KY
40741-2050
Practice Phone: 606-878-5474
Practice Fax: 606-877-2439
1962412890 — RAQUEL F. VASQUEZ MD
Practice Location Address:
1675 S MAIN ST
LONDON, KY
40741-2050
Practice Phone: 606-878-1961
Practice Fax: 606-877-1958
1689766644 — CANDACE MARIE JEFFRIES L.C.S.W.
Practice Location Address:
1675 S MAIN ST
LONDON, KY
40741-2050
Practice Phone: 606-878-1961
Practice Fax: 606-877-1958
1144432295 — DR. DONALD K. JOHNSON D.M.D.
Practice Location Address:
1675 S MAIN ST
LONDON, KY
40741-2050
Practice Phone: 606-864-7816
Practice Fax: 606-864-2721
1790965135 — RICHARD E. SKRIP DPM
Practice Location Address:
1675 S MAIN ST
LONDON, KY
40741-2050
Practice Phone: 606-878-5474
Practice Fax:

Directions to “CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC ” 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.