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Organization

CENTRAL VIRGINIA HEALTH DISTRICT EARLY INTERVENTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAIL BRICELAND RN, CPNP, MSN (SYSTEM MANAGER)
(434) 947-2888
Entity
Organization

Contact information

Practice address
1900 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 947-2888
(434) 947-2389
Mailing address
1900 THOMSON DR, LYNCHBURG, VA 24501-1009
(434) 947-2888
(434) 947-2389

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0024079452
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003374
ANTHEM
VA
05
004975111
VA
05
004975251
VA
05
004975260
VA
05
004975308
VA
05
004975359
VA
01
052024
ANTHEM
VA
01
052025
ANTHEM
VA
01
052026
ANTHEM
VA
01
087342
ANTHEM
VA
01
18765
OPTIMA
VA
01
21236
OPTIMA
VA
01
22832
OPTIMA
VA
01
61176
CARENET
VA
01
61551
CARENET
VA
01
61553
CARENET
VA
01
61555
CARENET
VA
01
61557
CARENET
VA
01
96856
OPTIMA
VA
01
96857
OPTIMA
VA
Enumeration date
10/01/2009
Last updated
10/01/2009
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