| |
2900 Lamb Circle Christiansburg VA 24073 | |
(540) 224-5512 | |
Not Available |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 2900 Lamb Circle, Christiansburg, Virginia |
Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
Authorized Official Contact | 5402245352 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5715 | 2900 Lamb Circle Christiansburg VA 24073 Ph: (540) 224-5512 |
NPI Number | 1720042948 |
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Provider Enumeration Date | 04/14/2006 |
Last Update Date | 05/22/2023 |
Certification Date | 05/22/2023 |
Medicare PECOS PAC ID | 5799694964 |
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Medicare Enrollment ID | O20131112001483 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720042948 | NPI | - | NPPES |
000421 | Other | VA | ANTHEM PSYCH PAR |
104127 | Other | VA | ANTHEM PSYCH IOP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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