Healthcare Provider Details

I. General information

NPI: 1295846558
Provider Name (Legal Business Name): CHS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 RANDOLPH ST STE 250
RADFORD VA
24141-2443
US

IV. Provider business mailing address

707 RANDOLPH ST STE 250
RADFORD VA
24141-2443
US

V. Phone/Fax

Practice location:
  • Phone: 540-633-9333
  • Fax: 540-633-9322
Mailing address:
  • Phone: 540-633-9333
  • Fax: 540-633-9322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberEXEMPT
License Number StateVA

VIII. Authorized Official

Name: MRS. TERRY GUYNN TILLEY
Title or Position: DIRECTOR
Credential:
Phone: 540-633-9333