Organization
PCH OPERATIONS, LLC
Active
Other names
Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE F WILKINS (ADMINISTRATOR)
(276) 694-8678
Entity
Organization
Contact information
Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(276) 694-3151
(276) 694-8655
Mailing address
18688 JEB STUART HIGHWAY, STUART, VA 24171
(276) 694-3151
(276) 694-8655
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010135583
—
VA
01
—
146602
BLUE CROSS
VA
01
—
330049
MAMSI
VA
Enumeration date
09/08/2006
Last updated
06/19/2008
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