Provider Demographics
NPI:1477834653
Name:VIRGINIA HEALTH PARTNERS LLC
Entity Type:Organization
Organization Name:VIRGINIA HEALTH PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEROD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-686-4844
Mailing Address - Street 1:5601 EXECUTIVE CENTER DR STE 106
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8841
Mailing Address - Country:US
Mailing Address - Phone:133-668-6484
Mailing Address - Fax:
Practice Address - Street 1:3000 BETHESDA PL STE 601
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3328
Practice Address - Country:US
Practice Address - Phone:336-686-4844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health