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Contact Information

CANTERBURY OF SHEPHERDSTOWN, LP
80 MADDEX DR
SHEPHERDSTOWN, WV25443-4305
 Phone: 304-876-9422
 Fax: 304-876-6869
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for CANTERBURY OF SHEPHERDSTOWN, LP

NPI # 1619921277
LBN Legal business name CANTERBURY OF SHEPHERDSTOWN, LP
Authorized official JANE DROPESKEY - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
WV License # 133
WV Medicaid 0003509000
DC Other PX9 CAREFIRST - IND/PPO
MD Other PX9 CAREFIRST - BLUE CHOICE
MD Other 02SS CAREFIRST - PROV/INQ #
MD Other 268528 UNITED HEALTHCARE-MAMSI
WV Other 3126610 AETNA - HMO
WV Other 000399209 MOUNTAIN STATE BC/BS
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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