Organization
ROANOKE VALLEY HEALTH SERVICES INC
Active
Other names
Roanoke Valley Cardiac & Vascular Disease Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY E JENSEN (VP FINANCE - MANAGING EMPLOYEE)
(252) 535-8005
Entity
Organization
Contact information
Practice address
250 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4914
(252) 672-7732
(252) 635-6951
Mailing address
3120 WELLONS BLVD, PO BOX 15409, NEW BERN, NC 28562-5247
(252) 672-7732
(252) 635-6951
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020C2
NC BLUE CROSS BLUE SHIELD
NC
05
—
5908753
—
NC
Enumeration date
08/24/2007
Last updated
06/17/2008
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