CUMBERLAND HOSPITAL LLC

Provider Demographics

• NPI: 1871507699
• Name: CUMBERLAND HOSPITAL LLC
• Entity Type: Organization
• Organization Name: CUMBERLAND HOSPITAL LLC
• Other - Org Name: CUMBERLAND HOSPITAL
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: SRVPCFO
• Authorized Official - First Name: STEVE
• Authorized Official - Last Name: FILTON
• Authorized Official - Phone: 610-768-3300
• Mailing Address - Street 1: 9407 CUMBERLAND ROAD
• Mailing Address - City: NEW KENT
• Mailing Address - State: VA
• Mailing Address - Zip Code: 23124-2029
• Mailing Address - Country: US
• Mailing Address - Phone: 804-966-2242
• Mailing Address - Fax: 804-966-1643
• Practice Address - Street 1: 9407 CUMBERLAND ROAD
• Practice Address - City: NEW KENT
• Practice Address - State: VA
• Practice Address - Zip Code: 23124-9407
• Practice Address - Country: US
• Practice Address - Phone: 804-966-2242
• Practice Address - Fax: 804-966-1643
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-07-28
• Last Update Date: 2023-06-02

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	282N00000X	Hospitals	General Acute Care Hospital		Group - Single Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Single Specialty
No	2084P0804X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Child & Adolescent Psychiatry	Group - Single Specialty
No	273R00000X	Hospital Units	Psychiatric Unit
No	320600000X	Residential Treatment Facilities	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		Group - Single Specialty
No	363L00000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner		Group - Single Specialty
No	363LF0000X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Family	Group - Single Specialty
No	363LP0200X	Physician Assistants & Advanced Practice Nursing Providers	Nurse Practitioner	Pediatrics	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MN	842126900	Medicaid
FL	914049200	Medicaid
DC	034152200	Medicaid
VT	0493300	Medicaid
MD	402294700	Medicaid
	000207241	Other	MEDICAID RESIDENTIAL
NY	01682806	Medicaid
NC	4903300	Medicaid
KY	01600691	Medicaid
IA	0586446	Medicaid
NJ	8885001	Medicaid
AL	AHS3300N	Medicaid
GA	000938605X	Medicaid
PA	0019133520001	Medicaid
VA	004933001	Medicaid
NJ	8885001	Medicaid