Provider Demographics
NPI:1598861411
Name:SUMMIT HEALTH CARE, INC.
Entity Type:Organization
Organization Name:SUMMIT HEALTH CARE, INC.
Other - Org Name:RIVERVIEW PHYSICIANS FOR WOMEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-524-0890
Mailing Address - Street 1:439 JENNICK DR
Mailing Address - Street 2:
Mailing Address - City:COLONIAL HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:23834-4901
Mailing Address - Country:US
Mailing Address - Phone:804-524-0890
Mailing Address - Fax:804-524-0897
Practice Address - Street 1:439 JENNICK DR
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-4901
Practice Address - Country:US
Practice Address - Phone:804-524-0890
Practice Address - Fax:804-524-0897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06165Medicare PIN