District 19 Mental Health And Mental Retardation Services

LBN: District 19 Community Services Board
District 19 Mental Health And Mental Retardation Services is an health care organization with primary practice located at 20 W Bank St Suite 2, Petersburg VA 23803-3279. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Agencies / Community/Behavioral Health is the primary health care specialty. District 19 Community Services Board can be contacted via phone (804) 862-8054, or through Hubbard, Joseph E. via phone (804) 862-8054.

Contact Information

Primary practice address
20 W Bank St Suite 2 Petersburg VA 23803-3279
Phone: (804) 862-8054
Fax: (804) 863-1665
Website:
Map and Directions
Authorized official contact:
Name: Hubbard, Joseph E. C.P.A.
Phone: (804) 862-8054

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1225094451
LBN Legal business name District 19 Community Services Board
DBA Doing business as District 19 Mental Health And Mental Retardation Services
Authorized official Hubbard, Joseph E. C.P.A.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 30th, 2009 - about 17 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 1225094451 NPPES
Virginia MEDICAID 4945280

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