Provider Demographics
NPI: | 1003853995 |
---|---|
Name: | ANCHOR HEALTHCARE, PLC |
Entity type: | Organization |
Organization Name: | ANCHOR HEALTHCARE, PLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GENEVIEVE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BLAIR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 434-975-7777 |
Mailing Address - Street 1: | 900 RIO EAST CT |
Mailing Address - Street 2: | STE. A |
Mailing Address - City: | CHARLOTTESVILLE |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 22901-8040 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 434-975-7777 |
Mailing Address - Fax: | 434-975-7774 |
Practice Address - Street 1: | 900 RIO EAST CT |
Practice Address - Street 2: | STE. A |
Practice Address - City: | CHARLOTTESVILLE |
Practice Address - State: | VA |
Practice Address - Zip Code: | 22901-8040 |
Practice Address - Country: | US |
Practice Address - Phone: | 434-975-7777 |
Practice Address - Fax: | 434-975-7774 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | ANCHOR HEALTHCARE, PLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2006-06-01 |
Last Update Date: | 2022-08-10 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty |