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JUNCTION CENTER FOR INDEPENDENT LIVING INC. NPI 1376761304


NPI Information

NPI: 1376761304
Provider Name: JUNCTION CENTER FOR INDEPENDENT LIVING, INC.
Classification: Contractor - 171W00000X
Entity Type: Organization
Address:
1520 3RD AVE E
BIG STONE GAP, VA
ZIP 24219
Phone: (276) 524-4081
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JUNCTION CENTER FOR INDEPENDENT LIVING, INC. is a contractor in Big Stone Gap, VA. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). JUNCTION CENTER FOR INDEPENDENT LIVING, INC. NPI is 1376761304. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 3RD AVE E
BIG STONE GAP, VA
ZIP 24219-114
Phone: (276) 524-4081
Fax: (276) 524-1510

The provider's authorized official is Sharon Stacey .
The authorized official title is Program Director and has the following contact phone number (276) 524-4081.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 1/24/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171W00000XContractor008744041VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1008744041MEDICAIDVIRGINIA
2008743908MEDICAIDVIRGINIA
31376761304MEDICAIDVIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.