Provider Demographics
NPI:1750133203
Name:TRI CITY ACUTE CARE
Entity type:Organization
Organization Name:TRI CITY ACUTE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MELTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:QMHP
Authorized Official - Phone:702-403-0325
Mailing Address - Street 1:9507 HULL STREET RD # I
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1476
Mailing Address - Country:US
Mailing Address - Phone:702-403-0325
Mailing Address - Fax:
Practice Address - Street 1:9507 HULL STREET RD # I
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1476
Practice Address - Country:US
Practice Address - Phone:702-403-0325
Practice Address - Fax:800-317-6614
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL VIRGINIA HEALTHCARE ASSOCIATION, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility