GOOCHLAND POWHATAN COMMUNITY SERVICES NPI 1467448571

NPI Information

  • NPI: 1467448571
  • Provider Name: GOOCHLAND POWHATAN COMMUNITY SERVICES
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 49D2116099
  • Address: 3058 RIVER RD W
    GOOCHLAND, VA
    ZIP 23063
  • Phone: (804) 556-5400

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NPI Details

GOOCHLAND POWHATAN COMMUNITY SERVICES is a mental health (including community mental health center) clinic center in Goochland, VA. GOOCHLAND POWHATAN COMMUNITY SERVICES NPI is 1467448571. The provider is registered as an organization entity type.

The provider's business location address is:

3058 RIVER RD W
GOOCHLAND, VA
ZIP 23063-202
Phone: (804) 556-5400
Fax: (804) 556-5403

The provider's authorized official is Lester Saltzberg .
The authorized official title is Executive Director and has the following contact phone number (804) 556-5400.

The CLIA number assigned to this NPI record is 49D2116099 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 2/9/2022.

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
1343900000XNon-emergency Medical Transport (VAN)No
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)207VIRGINIAYes

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
1004945557MEDICAIDVIRGINIA
2004949919MEDICAIDVIRGINIA
3004978561MEDICAIDVIRGINIA
4004949927MEDICAIDVIRGINIA
5004948262MEDICAIDVIRGINIA

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: 11/21/2025

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