Organization Name: | JAMES MADISON UNIVERSITY SHENANDOAH VALLEY CHILD DEVELOPMENT CLINIC |
NPI Number: | 1417065806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KRIS CHRISTOPHEL (BILLING SPECIALIST) |
Mailing Address: | 601 University Blvd Harrisonburg |
State: | VA US |
Postal Code: | 228070001 |
Phone Number: | 5405686687 |
Fax Number: | 5405683875 |
NPI Enumeration Date: | 08/27/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |