Provider Demographics
| NPI: | 1003853995 | 
|---|---|
| Name: | ANCHOR HEALTHCARE, PLC | 
| Entity type: | Organization | 
| Organization Name: | ANCHOR HEALTHCARE, PLC | 
| Other - Org Name: | <UNAVAIL> | 
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR | 
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GENEVIEVE | 
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BLAIR | 
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 434-975-7777 | 
| Mailing Address - Street 1: | 900 RIO EAST CT | 
| Mailing Address - Street 2: | STE. A | 
| Mailing Address - City: | CHARLOTTESVILLE | 
| Mailing Address - State: | VA | 
| Mailing Address - Zip Code: | 22901-8040 | 
| Mailing Address - Country: | US | 
| Mailing Address - Phone: | 434-975-7777 | 
| Mailing Address - Fax: | 434-975-7774 | 
| Practice Address - Street 1: | 900 RIO EAST CT | 
| Practice Address - Street 2: | STE. A | 
| Practice Address - City: | CHARLOTTESVILLE | 
| Practice Address - State: | VA | 
| Practice Address - Zip Code: | 22901-8040 | 
| Practice Address - Country: | US | 
| Practice Address - Phone: | 434-975-7777 | 
| Practice Address - Fax: | 434-975-7774 | 
| EIN: | <UNAVAIL> | 
| Is Organization Subpart?: | Yes | 
| Parent Organization LBN: | ANCHOR HEALTHCARE, PLC | 
| Parent Organization TIN: | <UNAVAIL> | 
| Enumeration Date: | 2006-06-01 | 
| Last Update Date: | 2022-08-10 | 
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: | 
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group | 
|---|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty |