Provider Demographics
NPI:1801227400
Name:ANCHOR HEALTHCARE, PLC
Entity type:Organization
Organization Name:ANCHOR HEALTHCARE, PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-244-5684
Mailing Address - Street 1:908 E JEFFERSON ST STE G1
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5375
Mailing Address - Country:US
Mailing Address - Phone:434-244-5684
Mailing Address - Fax:
Practice Address - Street 1:908 E JEFFESON ST
Practice Address - Street 2:SUITE G1
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902
Practice Address - Country:US
Practice Address - Phone:434-244-5684
Practice Address - Fax:434-244-5685
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANCHOR HEALTHCARE, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-06
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD301Medicare PIN