Pulmonary Associates Of Southside Virginia, Inc

LBN: Pulmonary Associates Of Southside Virginia, Inc
Pulmonary Associates Of Southside Virginia, Inc is an health care organization with primary practice located at 2210 Wilborn Avenue , South Boston VA 24592. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Pulmonary Associates Of Southside Virginia, Inc can be contacted via phone (434) 575-5864, or through Hardy, Annette W via phone (434) 575-5864.

Contact Information

Primary practice address
2210 Wilborn Avenue South Boston VA 24592
Phone: (434) 575-5864
Fax: (434) 575-8929
Website:
Map and Directions
Authorized official contact:
Name: Hardy, Annette W
Phone: (434) 575-5864

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1265436117
LBN Legal business name Pulmonary Associates Of Southside Virginia, Inc
DBA Doing business as
Authorized official Hardy, Annette W
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2005
Last updated Nov 15th, 2010 - 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 1265436117 NPPES
North Carolina MEDICAID 890266T

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