Provider Demographics
NPI:1982776381
Name:CENTRAL VIRGINIA HEALTH NETWORK LC
Entity Type:Organization
Organization Name:CENTRAL VIRGINIA HEALTH NETWORK LC
Other - Org Name:CENVANET
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-359-4500
Mailing Address - Street 1:2201 WEST BROAD ST
Mailing Address - Street 2:STE 202
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220
Mailing Address - Country:US
Mailing Address - Phone:804-359-4500
Mailing Address - Fax:804-359-1021
Practice Address - Street 1:2201 WEST BROAD ST
Practice Address - Street 2:STE 202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220
Practice Address - Country:US
Practice Address - Phone:804-359-4500
Practice Address - Fax:804-359-1021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACC0P0002Medicare ID - Type Unspecified