Goochland Powhatan Community Services

NPI 1467448571 - Clinic/Center - 261QM0801X

NPI Details
NPI 1467448571
Enumeration Date 09/23/2005
Last Updated 06/23/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name SUSAN E SUSAN
Position EXECUTIVE DIRECTOR
Phone (804) 556-5400
Fax (804) 556-5403
Practice Location
3058 RIVER RD W
GOOCHLAND VA, 23063-3202, US
Phone (804) 556-5400
Fax (804) 556-5403
Business Location
PO BOX 189
GOOCHLAND VA, 23063-0189, US
Phone (804) 556-5400
Fax (804) 556-5403
Toxanomy
Taxonomy Code 261QM0801X
License State Virginia
License Number 207
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According to our database, Goochland Powhatan Community Services NPI is 1467448571, taxonomy code is 261QM0801X and license number is 207, license state is located at Virginia. Goochland Powhatan Community Services physically located at 3058 River Rd W, Goochland VA, 23063-3202. NPI Number 1033115704 has the healthcare provider type.

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1467448571 NPI number is provided on an as is basis without warranty of any kind. 1467448571 is maintained by the National Plan & Provider Enumeration System. The contents of Goochland Powhatan Community Services are for informational purposes only.