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REGION TEN COMMUNITY COMMUNITY SERVICES BOARD NPI 1497856090


NPI Information

NPI: 1497856090
Provider Name: REGION TEN COMMUNITY COMMUNITY SERVICES BOARD
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
800 PRESTON AVE
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 972-1788
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REGION TEN COMMUNITY COMMUNITY SERVICES BOARD is an adult mental health clinic center in Charlottesville, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. REGION TEN COMMUNITY COMMUNITY SERVICES BOARD NPI is 1497856090. The provider is registered as an organization entity type.

The provider's business location address is:

800 PRESTON AVE
CHARLOTTESVILLE, VA
ZIP 22903-420
Phone: (434) 972-1788
Fax: (434) 970-2158

The provider's authorized official is Christinia Ragland .
The authorized official title is Credentialing Contact and has the following contact phone number (434) 972-1800.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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
14945018MEDICAIDVIRGINIA

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

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