SOUTHERN VIRGINIA UNIVERSITY (NPI# 1083015960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083015960 |
| Entity Type | Organization |
| Organization Name | SOUTHERN VIRGINIA UNIVERSITY |
| Other Organization Name | SVU SPORTS MEDICINE |
| Practice Address |
1 University Hill Dr Knight Sports Arena Buena Vista VA 24416-3038 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 5402614931 |
| Practice Fax Number | 5402663866 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | MR. CHAD MAHAFFEY (HEAD ATHLETIC TRAINER) |
| Authorized Official Telephone | 5402618498 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SVU Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Southern Virginia University | One University Hill Drive, Buena Vista, Virginia 24416 |
| Street Address |
1 UNIVERSITY HILL DR KNIGHT SPORTS ARENA |
| City | BUENA VISTA |
| State | VA |
| Zip Code | 24416-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891127817 | Paul William Tobias | Specialist/Technologist | 1 University Hill Dr, Buena Vista, VA 24416-3038 | 2013-08-01 |
| 1669906996 | Lindsay Harper | Specialist/Technologist | 1 University Hill Dr, Buena Vista, VA 24416-3038 | 2017-04-13 |
| 1831640218 | Chad Mahaffey | Specialist/Technologist | 1 University Hill Dr, Buena Vista, VA 24416-3038 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825855 | Marian Gowdy | Specialist/Technologist | 1 University Hill Drive, Buena Vista, VA 24416 | 2017-04-17 |
| 1578668448 | Margaret A Campbell Dds PC | Dentist | 2131 Maenolia Ave, Buena Vista, VA 24416 | 2006-09-14 |
| 1467931311 | Laura Roberts Mays | Nurse Practitioner | 2252 Magnolia Ave, Buena Vista, VA 24416 | 2018-08-11 |
| 1982104253 | Brian Morris | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2018-02-13 |
| 1093086381 | Jerry Mason Vanbrocklin | Pharmacist | 2263 Magnolia Ave, Buena Vista, VA 24416 | 2012-01-19 |
| 1467780999 | Preferred Call and Response, LLC | Emergency Response System Companies | 399 E. 29th Street, Buena Vista, VA 24416-0152 | 2009-11-20 |
| 1912203019 | Buena Vista Rescue Squad Inc | Ambulance | 2307 Sycamore Ave, Buena Vista, VA 24416-0668 | 2011-02-07 |
| 1467839431 | Pro Careers Inc./bvpc | Home Health | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-04-29 |
| 1619354057 | Pro Careers Inc./bvrc | In Home Supportive Care | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| 1164809505 | Pro Careers Inc./bvcd | Case Management | 393 E 29th St Ste 1, Buena Vista, VA 24416-1291 | 2015-05-06 |
| Find all providers in zip 24416 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526433 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 156 Long Hollow Rd, Saltville, VA 24370-4140 | 2020-07-31 |
| 1740899954 | Southwest Virginia Community Health Systems Incorporated | Clinic/Center | 1013 East Main Street, Saltville, VA 24370 | 2020-07-24 |
| 1326697053 | Southwest Virginia Community Health Systems Inc | Clinic/Center | 200 Spring Hill Ter, Bristol, VA 24201-1800 | 2019-09-05 |
| 1790237717 | Kwi | Clinic/Center | 642 Tanglewood Dr, Lynchburg, VA 24502-5673 | 2016-10-25 |
| 1003153701 | James Madison University Health Center | Clinic/Center | 724 South Mason Street Msc 7901, Harrisonburg, VA 22807-1015 | 2013-01-15 |
| 1023303757 | College of William & Mary | Clinic/Center | 1 Gooch Dr, Williamsburg, VA 23185 | 2011-06-10 |
| 1922621754 | Michael Lee Boes | Clinic/Center | 306 Liberty View Ln, Lynchburg, VA 24502-2291 | 2020-05-27 |
| 1720640790 | Samon Nazemian | Clinic/Center | 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744 | 2019-07-01 |
| 1992201891 | Moses Kwasi Lopez-twumasi | Clinic/Center | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-04-01 |
| 1336588367 | George Mason University Student Health Service | Clinic/Center | 4400 University Dr, Ms 2 D3, Fairfax, VA 22030-4422 | 2013-06-24 |
| Find all providers with the same taxonomy | ||||
| City | BUENA VISTA |
| Zip Code | 24416 |
Please comment or provide details below to improve the information on SOUTHERN VIRGINIA UNIVERSITY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.