Provider Demographics
NPI:1750945119
Name:MISSIONARIES OF JESUS THE SAVIOR (MJS)
Entity type:Organization
Organization Name:MISSIONARIES OF JESUS THE SAVIOR (MJS)
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:LEONARD
Authorized Official - Last Name:CHUKWUJIOKE-MBIHA
Authorized Official - Suffix:
Authorized Official - Credentials:CCMA / CPT / MS
Authorized Official - Phone:703-814-6748
Mailing Address - Street 1:116 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-3337
Mailing Address - Country:US
Mailing Address - Phone:800-601-0790
Mailing Address - Fax:571-441-0861
Practice Address - Street 1:116 E MAIN ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-3337
Practice Address - Country:US
Practice Address - Phone:800-601-0790
Practice Address - Fax:571-441-0861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No282J00000XHospitalsReligious Nonmedical Health Care Institution