Provider Demographics
NPI:1972710754
Name:VIRGINIA HEALTH SCREENINGS, LLC
Entity Type:Organization
Organization Name:VIRGINIA HEALTH SCREENINGS, LLC
Other - Org Name:PREVENTA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:N
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:540-989-0030
Mailing Address - Street 1:5010 FALCON RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-8619
Mailing Address - Country:US
Mailing Address - Phone:540-989-0030
Mailing Address - Fax:
Practice Address - Street 1:75 DOGWOOD ACRE RD
Practice Address - Street 2:
Practice Address - City:MONETA
Practice Address - State:VA
Practice Address - Zip Code:24121-4968
Practice Address - Country:US
Practice Address - Phone:540-353-1598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS870001300Medicare ID - Type UnspecifiedPROVIDER ID
PHC032Medicare ID - Type UnspecifiedCENTRALIZED BILLER
MD050FMedicare ID - Type UnspecifiedPROVIDER ID
AR10604Medicare ID - Type UnspecifiedPROVIDER ID
TN3913891Medicare ID - Type UnspecifiedPROVIDER ID