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SOUTHEASTERN VIRGINIA TRAINING CENTER NPI 1770541161


NPI Information

NPI: 1770541161
Provider Name: SOUTHEASTERN VIRGINIA TRAINING CENTER
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
2100 STEPPINGSTONE SQUARE
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 424-8201
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SOUTHEASTERN VIRGINIA TRAINING CENTER is an intermediate care facility mentally retarded in Chesapeake, VA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. SOUTHEASTERN VIRGINIA TRAINING CENTER NPI is 1770541161. The provider is registered as an organization entity type.

The provider's business location address is:

2100 STEPPINGSTONE SQUARE
CHESAPEAKE, VA
ZIP 23320-591
Phone: (757) 424-8201
Fax: (757) 424-8348

The provider's authorized official is Robert D Shrewsberry .
The authorized official title is Director and has the following contact phone number (757) 424-8201.

The enumeration date for this NPI number is 5/3/2006 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
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

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
14966562MEDICAIDVIRGINIA

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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