Organization
CUMBERLAND MOUNTAIN COMMUNITY
Active
Parent organization
BAXTER HOUSE ICF
Other names
Baxter House ICF
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAXTER HOUSE ICF
Authorized official
MARY F COLE LCSW (MENTAL RETARDATION DIRECTOR)
(276) 964-6702
Entity
Organization
Contact information
Practice address
ROUTE 696, KEEN MOUNTAIN, VA 24624
(276) 498-4549
(276) 498-4194
Mailing address
PO BOX 810, CEDAR BLUFF, VA 24609
(276) 964-6702
(276) 964-5669
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
09301001
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004967810
—
VA
Enumeration date
02/08/2007
Last updated
03/21/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us