Provider Demographics
NPI:1568424364
Name:RAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD
Entity Type:Organization
Organization Name:RAPPAHANNOCK-RAPIDAN COMMUNITY SERVICES BOARD
Other - Org Name:BEHAVIORAL HEALTHCARE OF RAPPAHANNOCK RAPIDAN
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGRAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-825-3100
Mailing Address - Street 1:PO BOX 1568
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-6568
Mailing Address - Country:US
Mailing Address - Phone:540-825-3100
Mailing Address - Fax:540-829-5440
Practice Address - Street 1:340 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3006
Practice Address - Country:US
Practice Address - Phone:540-347-7620
Practice Address - Fax:540-349-0644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA16907004251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4945361Medicaid
VAC03145Medicare PIN
VA4945361Medicaid
VAC03145Medicare PIN