Provider Demographics
NPI:1770656217
Name:MSI OF VIRGINIA
Entity Type:Organization
Organization Name:MSI OF VIRGINIA
Other - Org Name:MSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SALTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-459-0656
Mailing Address - Street 1:2814 HOOPER'S ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:CHURCH CREEK
Mailing Address - State:MD
Mailing Address - Zip Code:21622-0000
Mailing Address - Country:US
Mailing Address - Phone:484-459-0656
Mailing Address - Fax:
Practice Address - Street 1:2814 HOOPER'S ISLAND RD
Practice Address - Street 2:
Practice Address - City:CHURCH CREEK
Practice Address - State:MD
Practice Address - Zip Code:21622-0000
Practice Address - Country:US
Practice Address - Phone:484-459-0656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies