Organization
CENTRAL VIRGINIA HEALTH DISTRICT EARLY INTERVENTION
Active
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
Update your record
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