Provider Demographics
NPI:1356509962
Name:CUMBERLAND VALLEY SPECIALTY SERVICES
Entity Type:Organization
Organization Name:CUMBERLAND VALLEY SPECIALTY SERVICES
Other - Org Name:ANN-MARIE N HUGH MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING & COLLECTIONS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-217-4229
Mailing Address - Street 1:120 N 7TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1795
Mailing Address - Country:US
Mailing Address - Phone:717-217-4229
Mailing Address - Fax:717-263-6255
Practice Address - Street 1:757 NORLAND AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-4230
Practice Address - Country:US
Practice Address - Phone:717-217-6970
Practice Address - Fax:717-217-6792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432720208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020422540001Medicaid
I13525Medicare UPIN
PA119312TGAMedicare PIN