DISTRICT 19 COMMUNITY SERVICES BOARD NPI 1679510226

NPI Information

NPI: 1679510226
Provider Name: DISTRICT 19 COMMUNITY SERVICES BOARD
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
5012 SELWOOD RD
RICHMOND, VA
ZIP 23234
Phone: (804) 862-8002
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DISTRICT 19 COMMUNITY SERVICES BOARD is a public health or welfare in Richmond, VA. DISTRICT 19 COMMUNITY SERVICES BOARD NPI is 1679510226. The provider is registered as an organization entity type.

The provider's business location address is:

5012 SELWOOD RD
RICHMOND, VA
ZIP 23234-246
Phone: (804) 862-8002
Fax: (804) 862-8060

The provider's authorized official is Teresa Wulf-heller .
The authorized official title is Clinical Services Director and has the following contact phone number (804) 862-8002.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/15/2008.

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
1	251K00000X	Public Health or Welfare		0904002353	VIRGINIA	Yes

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	800002535	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
2	270506	OTHER	VIRGINIA	ANTHEM
3	R62892	OTHER	VIRGINIA	INACTIVE
4	086373	OTHER	VIRGINIA	SENTARA
5	4945280	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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