Edgewood Group Family Services

LBN: Edgewood Group Family Services
Edgewood Group Family Services is an health care organization with primary practice located at 4906 Fitzhugh Ave Suite 104, Richmond VA 23230-3526. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Edgewood Group Family Services can be contacted via phone (804) 648-0671, or through Crocker, William Travis via phone (804) 648-0671.

Contact Information

Primary practice address
4906 Fitzhugh Ave Suite 104 Richmond VA 23230-3526
Phone: (804) 648-0671
Fax: (804) 648-0672
Website:
Map and Directions
Authorized official contact:
Name: Crocker, William Travis
Phone: (804) 648-0671

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 709-05-001 Virginia

Profile Details

NPI number 1881607414
LBN Legal business name Edgewood Group Family Services
DBA Doing business as
Authorized official Crocker, William Travis
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2006
Last updated Feb 17th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881607414 NPPES
Virginia MEDICAID 010127394

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