1447341805 NPI number — VIRGINIA CENTER FOR FAMILY RELATIONS, PC

Table of content: (NPI 1447341805)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447341805 NPI number — VIRGINIA CENTER FOR FAMILY RELATIONS, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VIRGINIA CENTER FOR FAMILY RELATIONS, PC
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:
1447341805
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1450 SACHEM PLACE
Provider Second Line Business Mailing Address:
SUITE101
Provider Business Mailing Address City Name:
CHARLOTTESVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
434-973-5640
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1450 SACHEM PLACE
Provider Second Line Business Practice Location Address:
SUITE101
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-973-5640
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRENCH
Authorized Official First Name:
LARRY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
434-973-5640

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  0717000095 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 0717000162 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 0904003728 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701001071 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701001887 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 106H00000X , with the licence number: 0717000431 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701002541 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YA0400X , with the licence number: 0710000770 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 0904001603 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 0701003925 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4345708 . This is a "LARRY L. FRENCH/AETNA#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 068091 . This is a "LOIS H. MCKIM/ANTHEM #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010173132 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1235238197 . This is a "LOIS H MCKIM NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1548370976 . This is a "KRISTIN AUGUSTINE NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 800002732 . This is a "KRISTIN AUGUSTINE MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1022108 . This is a "LARRY L. FRENCH/CIGNA #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1982712071 . This is a "ROBERT TUCKER NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1396842399 . This is a "PETER J SCHMIDT NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 324172 . This is a "LARRY FRENCH/MHN TRICARE#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 210166 . This is a "ELIZABETH R ADAMS/SOUTHEA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 800000316 . This is a "LOIS H MCKIM MEDICARE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 082182 . This is a "LARRY FRENCH # ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 112348 . This is a "PETER J SCHMIDT / ANTHEM#" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1538250998 . This is a "LARRY L FRENCH NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 324177 . This is a "PETER J SCHMIDT/MHN TRICA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 010205930 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1437263837 . This is a "BETH ADAMS NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 82120 . This is a "LARRY L. FRENCH/SENTARA #" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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