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Contact Information

SUNBRIDGE GLENVILLE HEALTH CARE LLC
111 FAIRGROUND RD
GLENVILLE, WV26351-1388
 Phone: 304-462-5718
 Fax: 304-462-8272
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for SUNBRIDGE GLENVILLE HEALTH CARE LLC

NPI # 1932156460
LBN Legal business name SUNBRIDGE GLENVILLE HEALTH CARE LLC
Authorized official MICHAEL BERG - (ASSISTANT SECRETARY)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/30/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
WV License # 94
WV Medicaid 0004026000
WV Other #001703821 BCBS
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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