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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