Organization
MOUNTAIN EMPIRE OLDER CITIZENS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SHOOP (ASSOCIATE ACCOUNTANT)
(276) 523-4202
Entity
Organization
Contact information
Practice address
1501 3RD AVE E, BIG STONE GAP, VA 24219-3115
(276) 523-4202
(276) 523-4208
Mailing address
PO BOX 888, 1501 THIRD AVENUE EAST, BIG STONE GAP, VA 24219-0888
(276) 523-4202
(276) 523-4208
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184807661
—
VA
05
—
1972534659
—
VA
Enumeration date
07/02/2015
Last updated
06/27/2022
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