Provider Demographics
NPI:1235432394
Name:ROANOKE VALLEY HEALTH SERVICES INC
Entity Type:Organization
Organization Name:ROANOKE VALLEY HEALTH SERVICES INC
Other - Org Name:ROANOKE VALLEY MULTI-SPECIALTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REGIONAL OPERATIONS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-535-8436
Mailing Address - Street 1:210 B SMITH CHURCH ROAD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4942
Mailing Address - Country:US
Mailing Address - Phone:252-535-8870
Mailing Address - Fax:252-535-8868
Practice Address - Street 1:244 SMITH CHURCH RD
Practice Address - Street 2:SUITE D
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4900
Practice Address - Country:US
Practice Address - Phone:252-535-8870
Practice Address - Fax:252-535-8868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty