Provider Demographics
NPI:1730642000
Name:JAMES MADISON UNIVERSITY
Entity Type:Organization
Organization Name:JAMES MADISON UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOPHEL
Authorized Official - Suffix:
Authorized Official - Credentials:CPC, CPB
Authorized Official - Phone:540-568-2621
Mailing Address - Street 1:755 MARTIN LUTHER KING, JR. WAY
Mailing Address - Street 2:MSC 9012
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-1735
Mailing Address - Fax:540-568-8866
Practice Address - Street 1:250 MEMORIAL DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835
Practice Address - Country:US
Practice Address - Phone:540-568-1735
Practice Address - Fax:540-568-8866
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES MADISON UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-12
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty