1801107685 NPI number — CLEARVIEW SERVICES, LLC

Table of content: (NPI 1801107685)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801107685 NPI number — CLEARVIEW SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLEARVIEW SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CLEARVIEW HEALTH SERVICES, LLC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801107685
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/28/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6194
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIRGINIA BEACH
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23456-0194
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-301-1797
Provider Business Mailing Address Fax Number:
757-426-2650

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4551 PROFESSIONAL CIR STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VIRGINIA BEACH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23455-6442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-301-1797
Provider Business Practice Location Address Fax Number:
757-426-2650
Provider Enumeration Date:
06/28/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CLEMONS
Authorized Official First Name:
LORENZO
Authorized Official Middle Name:
BROOKS
Authorized Official Title or Position:
PRESIDENT/CEO
Authorized Official Telephone Number:
757-301-1797

Provider Taxonomy Codes

  • Taxonomy code: 374U00000X , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)