1437669421 NPI number — HEALTH CARE TRAINING & SERVICES

Table of content: (NPI 1437669421)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437669421 NPI number — HEALTH CARE TRAINING & SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH CARE TRAINING & SERVICES
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:
1437669421
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5817 RAIFORD CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNCHBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
24503-3743
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-455-2131
Provider Business Mailing Address Fax Number:
434-455-6200

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNCHBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24504-2851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-455-2131
Provider Business Practice Location Address Fax Number:
434-455-6200
Provider Enumeration Date:
10/04/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JACKSON
Authorized Official First Name:
TERESA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF NURSING/RN
Authorized Official Telephone Number:
434-455-2131

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HCO-18825 , 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)

  • Identifier: 0153785899 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0100418307 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".