Provider Demographics
NPI:1629138227
Name:THE ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA, INC.
Entity Type:Organization
Organization Name:THE ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA, INC.
Other - Org Name:CENTRAL VIRGINIA ORTHOPAEDICS, FOREST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BARBIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-455-4571
Mailing Address - Street 1:PO BOX 10909
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24506-0909
Mailing Address - Country:US
Mailing Address - Phone:434-845-7035
Mailing Address - Fax:434-845-6940
Practice Address - Street 1:1111 CORPORATE PARK DR
Practice Address - Street 2:SUITE A
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-2238
Practice Address - Country:US
Practice Address - Phone:434-845-7035
Practice Address - Fax:434-845-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA5449860003332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies