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Organization

CHARLOTTESVILLE AREA RETIREMENT SERVICE, INC.

Active
Parent organization
RIVERSIDE RETIREMENT SERVICES, INC.
Other names
Blue Ridge PACE
Organization subpart
Yes

Provider details

NPI number
Legal business name
RIVERSIDE RETIREMENT SERVICES, INC.
Authorized official
MR. CRAIG CONNOR (VP PACE)
(757) 234-8428
Entity
Organization

Contact information

Practice address
1335 CARLTON AVE, CHARLOTTESVILLE, VA 22902-5813
(434) 529-1300
(434) 327-4100
Mailing address
1020 OLD DENBIGH BLVD, NEWPORT NEWS, VA 23602-2017
(757) 875-2050
(757) 875-2070

Taxonomy

Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H3473
MEDICARE CONTRACT NUMBER
Enumeration date
06/28/2013
Last updated
03/30/2014
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