Ch Va Collaborative Care Llc

LBN: Ch Va Collaborative Care Llc
Ch Va Collaborative Care Llc is an health care organization with primary practice located at 4099 Basswood Rd , Disputanta VA 23842-4517. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ch Va Collaborative Care Llc can be contacted via phone (571) 781-7001, or through Cooke, Melissa M via phone (972) 715-3808.

Contact Information

Primary practice address
4099 Basswood Rd Disputanta VA 23842-4517
Phone: (571) 781-7001
Fax: (888) 722-4282
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Melissa M
Phone: (972) 715-3808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1184025439
LBN Legal business name Ch Va Collaborative Care Llc
DBA Doing business as
Authorized official Cooke, Melissa M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2014
Last updated Feb 10th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184025439 NPPES
Virginia Other E110 MEDICARE CERTIFICATION NUMBER

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