Provider Demographics
NPI:1457830382
Name:ROA HEALTH SYSTEM
Entity Type:Organization
Organization Name:ROA HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OBIANUJU
Authorized Official - Middle Name:
Authorized Official - Last Name:IHECHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:178-135-4135
Mailing Address - Street 1:43 BOWSTRING WAY UNIT E46
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-6455
Mailing Address - Country:US
Mailing Address - Phone:178-135-4135
Mailing Address - Fax:
Practice Address - Street 1:43 BOWSTRING WAY UNIT E46
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-6455
Practice Address - Country:US
Practice Address - Phone:178-135-4135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty