Intensive Community Outreach Services

LBN: Intensive Community Outreach Services
Intensive Community Outreach Services is an health care organization with primary practice located at 1524 Merrimac Trail Suite J, Wiliamsburg VA 23815. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Intensive Community Outreach Services can be contacted via phone (804) 521-4327, or through Heyward, Bernard Lamont via phone (804) 551-4155.

Contact Information

Primary practice address
1524 Merrimac Trail Suite J Wiliamsburg VA 23815
Phone: (804) 521-4327
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heyward, Bernard Lamont
Phone: (804) 551-4155

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 07313155018008081414 Virginia

Profile Details

NPI number 1548495708
LBN Legal business name Intensive Community Outreach Services
DBA Doing business as
Authorized official Heyward, Bernard Lamont
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2009
Last updated May 18th, 2009 - about 15 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 1548495708 NPPES
Virginia MEDICAID 1639335987

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