Healthcare Provider Details

I. General information

NPI: 1649417536
Provider Name (Legal Business Name): RAPPAHANNOCK RAPIDAN CSB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15361 BRADFORD RD
CULPEPER VA
22701-4238
US

IV. Provider business mailing address

PO BOX 1568
CULPEPER VA
22701-6568
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-3100
  • Fax: 540-825-6245
Mailing address:
  • Phone: 540-825-3100
  • Fax: 540-825-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: ANNA B. MCFALLS
Title or Position: DIRECTOR, FINANCE & ADM SERVICES
Credential:
Phone: 540-825-3100