1447341805 NPI number — VIRGINIA CENTER FOR FAMILY RELATIONS, PC

Table of Contents

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: 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: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • 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: 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: 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: 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: 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: 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: 106H00000X , with the licence number: 0717000431 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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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