Healthcare Provider Details

I. General information

NPI: 1023846433
Provider Name (Legal Business Name): TRI-AREA COMMUNITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 CARROL DR
FRIES VA
24330-4532
US

IV. Provider business mailing address

PO BOX 9
LAUREL FORK VA
24352-0009
US

V. Phone/Fax

Practice location:
  • Phone: 888-908-7820
  • Fax:
Mailing address:
  • Phone: 276-398-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CAROL HASH
Title or Position: A/R MANAGER
Credential:
Phone: 276-398-1200