PHC OF VIRGINIA, LLC (NPI# 1710418447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710418447 |
| Entity Type | Organization |
| Organization Name | PHC OF VIRGINIA, LLC |
| Practice Address |
120 Roanoke Blvd Salem VA 24153-4908 |
| Mailing Address |
6100 Tower Circle Suite 1000 Franklin TN 37067 |
| Practice Telephone | 5403894761 |
| Practice Fax Number | 5403896539 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | MR. CHRISTOPHER HOWARD (VP & SECRETARY) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PHC OF VIRGINIA, LLC | 830 Crescent Centre Drive, Suite 610, Franklin, TN 37067 |
| Street Address |
120 ROANOKE BLVD |
| City | SALEM |
| State | VA |
| Zip Code | 24153-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578078234 | Arden Wellness LLC | Substance Abuse Rehabilitation Facility | 15 Ermer Rd Unit 201, Salem, NH 03079-1273 | 2017-12-04 |
| 1982017992 | Odyssey Complete LLC | Substance Abuse Rehabilitation Facility | 465 Commercial St Ne Ste 150, Salem, OR 97301-3414 | 2014-06-06 |
| 1639228778 | Phc of Virginia, Inc. | Substance Abuse Rehabilitation Facility | 405 Kimball Avenue, Salem, VA 24153 | 2007-01-09 |
| 1730635608 | Bridgeway Recovery Services | Substance Abuse Rehabilitation Facility | 3321 Harold Dr Ne, Salem, OR 97305-1339 | 2016-08-30 |
| 1356628119 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 2035 Davcor St Se, Salem, OR 97302-1595 | 2011-11-08 |
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| 1033730619 | Twin Branch Wellness & Recovery LLC | Substance Abuse Rehabilitation Facility | 1471 Davis Mill Rd, Lancaster, VA 22503-2111 | 2020-05-05 |
| 1063052579 | Landmark Recovery of Norfolk LLC | Substance Abuse Rehabilitation Facility | 1516 Harmon St, Norfolk, VA 23518-4056 | 2020-01-13 |
| 1619514957 | Volunteers of America Chesapeake, Inc. | Substance Abuse Rehabilitation Facility | 1554 Columbia Pike, Arlington, VA 22204-4667 | 2019-12-05 |
| 1326699927 | Caron Marc LLC | Substance Abuse Rehabilitation Facility | 4600 Fairfax Dr Ste 906, Arlington, VA 22203-1553 | 2019-09-25 |
| 1184188641 | The Bridge Ministry, Inc. | Substance Abuse Rehabilitation Facility | 3054 Dixie Hill Rd, Buckingham, VA 23921-3017 | 2019-01-29 |
| 1316427214 | Virginia Health Operations LLC | Substance Abuse Rehabilitation Facility | 1318 Kurtz Rd, Mc Lean, VA 22101-4017 | 2018-08-20 |
| 1740766161 | Community Wellness & Support, LLC | Substance Abuse Rehabilitation Facility | 34 Medical Park Blvd Ste A, Petersburg, VA 23805-9283 | 2018-07-18 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
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| 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.