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MOUNTAIN EMPIRE PACE
NPI 1184807661
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Big Stone Gap, VA

Active since December 07, 2007CLIA 49D1076540 · Waiver
1501 3RD AVE E, BIG STONE GAP, VA 24219(276) 523-4202(276) 523-4208 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mountain Empire Pace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN EMPIRE PACE (NPI 1184807661) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Big Stone Gap, Virginia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Michael K Wampler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184807661
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameMOUNTAIN EMPIRE OLDER CITIZENS, INC
Location Address1501 3RD AVE EBig Stone Gap, VA 24219-3115
Mailing AddressPo Box 888, 1-a Industrial Park RoadBig Stone Gap, VA 24219-0888 · (276) 523-4202 · Fax (276) 523-4208
Phone(276) 523-4202
Fax(276) 523-4208
Organization SubpartNo
Authorized OfficialMichael K WamplerExecutive Director · (276) 523-4202
Enumeration DateDecember 7, 2007
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1184807661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationAgencies
Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
1501 3RD AVE E, Big Stone Gap, VA 24219
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Other Names 1

Doing Business AsMountain Empire Pace

Other Identifiers 1

OtherH5037Pace

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1076540

Mountain Empire Pace · Big Stone Gap, VA
Active · expires Nov 15, 2027
CLIA Number49D1076540
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorElizabeth Cooperstein
Laboratory Phone(276) 523-0599
Laboratory LocationMountain Empire Pace1508 Third Street East, Big Stone Gap, VA 24219
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BICKLEY CRAVEN MD
Family Medicine
1501 3RD AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-0599
KACY ZIMMERMAN
Social Worker
1501 3RD AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-4202
MOUNTAIN EMPIRE OLDER CITIZENS, INC
In Home Supportive Care
1501 3RD AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-4202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Empire Older Citizens, Inc's NPI number?

The NPI number for Mountain Empire Older Citizens, Inc is 1184807661. It was assigned to this organization in the NPPES registry on December 7, 2007. The provider is doing business as Mountain Empire Pace.

Where is Mountain Empire Older Citizens, Inc located?

Mountain Empire Older Citizens, Inc is located at 1501 3rd Ave E, Big Stone Gap, VA 24219. The listed phone number is (276) 523-4202.

What is Mountain Empire Older Citizens, Inc's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

Does Mountain Empire Older Citizens, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1076540) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Empire Older Citizens, Inc was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.