District 19 Mental Health And Mental Retardation Services
LBN: District 19 Community Services Board
District 19 Mental Health And Mental Retardation Services is an health care organization with primary practice located at 20 W Bank St Suite 2, Petersburg VA 23803-3279. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Early Intervention Provider Agency. Agencies / Community/Behavioral Health is the primary health care specialty.
District 19 Community Services Board can be contacted via phone (804) 862-8054, or through Hubbard, Joseph E. via phone (804) 862-8054.
Contact Information
Primary practice address
20 W Bank St Suite 2
Petersburg VA 23803-3279
Phone: (804) 862-8054
Fax: (804) 863-1665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
| NPI number | 1225094451 |
|---|---|
| LBN Legal business name | District 19 Community Services Board |
| DBA Doing business as | District 19 Mental Health And Mental Retardation Services |
| Authorized official | Hubbard, Joseph E. C.P.A. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Jul 30th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225094451 | NPPES |
| Virginia | MEDICAID | 4945280 |
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