1114955168 NPI number — CLINCH VALLEY UROLOGY, LLC

Table of content: (NPI 1114955168)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114955168 NPI number — CLINCH VALLEY UROLOGY, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLINCH VALLEY UROLOGY, 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:
Provider Other Organization Name Type Code:
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:
1114955168
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/14/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6719 GOV G. C. PEERY HWY
Provider Second Line Business Mailing Address:
SUITE 3650
Provider Business Mailing Address City Name:
RICHLANDS
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24641-2055
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
276-596-6773
Provider Business Mailing Address Fax Number:
866-803-1898

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6719 GOV G. C. PEERY HWY
Provider Second Line Business Practice Location Address:
SUITE 1800
Provider Business Practice Location Address City Name:
RICHLANDS
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24641-2055
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-596-6659
Provider Business Practice Location Address Fax Number:
276-596-6658
Provider Enumeration Date:
06/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
JUDY
Authorized Official First Name:
JESS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
615-565-1508

Provider Taxonomy Codes

  • Taxonomy code: 208800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1114955168 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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