CHINCOTEAGUE MAIN STREET LLC NPI 1871256313

NPI Information

NPI: 1871256313
Provider Name: CHINCOTEAGUE MAIN STREET LLC

Doing Business As: CHINCOTEAGUE HEALTH

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4092 MAIN ST
CHINCOTEAGUE, VA
ZIP 23336
Phone: (434) 987-5350
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CHINCOTEAGUE MAIN STREET LLC is a psychiatric/mental health nurse practitioner in Chincoteague, VA. CHINCOTEAGUE MAIN STREET LLC NPI is 1871256313. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chincoteague Health.

The provider's business location address is:

4092 MAIN ST
CHINCOTEAGUE, VA
ZIP 23336-405
Phone: (434) 987-5350

The provider's authorized official is Denise Crosson .
The authorized official title is President and has the following contact phone number (434) 987-5350.

The CLIA number assigned to this NPI record is 49D1006365 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/21/2021 and was last updated on 5/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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