Healthcare Provider Details
I. General information
NPI: 1811910896
Provider Name (Legal Business Name): CENTRAL VIRGINIA TRAINING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
521 COLONY RD
MADISON HEIGHTS VA
24572-2105
US
IV. Provider business mailing address
521 COLONY RD
MADISON HEIGHTS VA
24572-2105
US
V. Phone/Fax
- Phone: 434-947-6000
- Fax: 434-947-2140
- Phone: 434-947-6000
- Fax: 434-947-2140
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DENISE
D.
MICHELETTI
Title or Position: FACILITY DIRECTOR
Credential: MSA, RN
Phone: 434-947-6000