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Organization
CANTERBURY OF SHEPHERDSTOWN, LP
Active
Organization
CANTERBURY OF SHEPHERDSTOWN, LP
Active
Other names
Canterbury Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
80 MADDEX DR, SHEPHERDSTOWN, WV 25443-4305
(304) 876-9422
(304) 876-6869
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
133
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003509000
—
WV
01
—
000399209
MOUNTAIN STATE BC/BS
WV
01
—
02SS
CAREFIRST - PROV/INQ #
MD
01
—
268528
UNITED HEALTHCARE-MAMSI
MD
01
—
3126610
AETNA - HMO
WV
01
—
PX9
CAREFIRST - IND/PPO
DC
01
—
PX9
CAREFIRST - BLUE CHOICE
MD
Enumeration date
05/19/2006
Last updated
06/21/2018
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