Provider Demographics
NPI:1891958971
Name:THREE RIVERS HEALTH DISTRICT
Entity Type:Organization
Organization Name:THREE RIVERS HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL TECH
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BELVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-758-2381
Mailing Address - Street 1:P O BOX 415
Mailing Address - Street 2:2780 PULLER HWY
Mailing Address - City:SALUDA
Mailing Address - State:VA
Mailing Address - Zip Code:23149-0415
Mailing Address - Country:US
Mailing Address - Phone:804-758-2381
Mailing Address - Fax:804-758-4828
Practice Address - Street 1:2780 PULLER HWY
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:VA
Practice Address - Zip Code:23149-0415
Practice Address - Country:US
Practice Address - Phone:804-758-2381
Practice Address - Fax:804-758-4828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0401004548251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA266549OtherANTHEM
VA8450587Medicaid
VA106882OtherDORAL
VA266546OtherANTHEM
VA8454510Medicaid
VA106879OtherDORAL
VA106883OtherDORAL
VA4975642Medicaid
VA4976029Medicaid
VA106880OtherDORAL
VA266552OtherANTHEM
VA4975669Medicaid
VA266544OtherANTHEM
VA4975456Medicaid
VA8451222Medicaid
VA106881OtherDORAL
VA266547OtherANTHEM
VA266553OtherANTHEM
VA266554OtherANTHEM
VA4975529Medicaid
VA4975715Medicaid
VA4975731Medicaid
VA4975901Medicaid
VA8451176Medicaid
VA4975782Medicaid
VA266545OtherANTHEM
VA266548OtherANTHEM
VA266550OtherANTHEM
VA4975651Medicaid
VA4975901Medicaid
VA8451176Medicaid
VA600000059Medicare PIN
VA600000057Medicare PIN
VA266552OtherANTHEM
VA106882OtherDORAL
VA4976029Medicaid
VA4975642Medicaid
VA4975651Medicaid