# DISTRICT THREE GOVERNMENTAL COOPERATIVE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376083634
- **Authorized official:** MR. MIKE GUY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (276) 783-8157

## Contact information

- **Practice address:** 4453 LEE HWY, MARION, VA 24354-4269
- **Practice address phone:** (276) 783-8157
- **Practice address fax:** (276) 783-3003
- **Mailing address:** 4453 LEE HWY, MARION, VA 24354-4269
- **Mailing address phone:** (276) 783-8157
- **Mailing address fax:** (276) 783-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2017
- **Last updated:** 03/06/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0087402670 | — | VA |