PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA INC NPI 1265436117

NPI Information

  • NPI: 1265436117
  • Provider Name: PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2210 WILBORN AVENUE
    SOUTH BOSTON, VA
    ZIP 24592
  • Phone: (434) 575-5864

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NPI Details

PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC is a specialist in South Boston, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PULMONARY ASSOCIATES OF SOUTHSIDE VIRGINIA, INC NPI is 1265436117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2210 WILBORN AVENUE
SOUTH BOSTON, VA
ZIP 24592
Phone: (434) 575-5864
Fax: (434) 575-8929

The provider's authorized official is Annette W Hardy .
The authorized official title is Secretary and has the following contact phone number (434) 575-5864.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 11/15/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERVIRGINIATAX ID
22317122MEDICARE PINNORTH CAROLINA
3C04076MEDICARE PINVIRGINIA
4890266TMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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