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Contact Information

GLENMARK LIMITED LIABILITY COMPANY I
ROUTE 92
WHITE SULPHUR SPRINGS, WV24986
 Phone: 304-536-4661
 Fax: 304-536-1328
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for GLENMARK LIMITED LIABILITY COMPANY I

NPI # 1114963972
LBN Legal business name GLENMARK LIMITED LIABILITY COMPANY I
Authorized official JANE DROPESKEY - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
WV License # 123
WV Medicaid 0002882000
WV Medicaid 0146250000
Other 25077260 AETNA-HMO
Other 000324441 MOUNTAIN STATE BC/BS
Other 416302 SOUTH HEALTH
Other 268414 UNITED - MAMSI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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