Provider Demographics
NPI:1275722647
Name:HEALTH REVIEW BOARD
Entity Type:Organization
Organization Name:HEALTH REVIEW BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-768-8432
Mailing Address - Street 1:2809 MEMORIAL ST
Mailing Address - Street 2:SUITE200
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1743
Mailing Address - Country:US
Mailing Address - Phone:703-257-2600
Mailing Address - Fax:703-768-8432
Practice Address - Street 1:2809 MEMORIAL STREET
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-768-8432
Practice Address - Fax:703-768-8432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN59011305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service