Healthcare Provider Details

I. General information

NPI: 1891958971
Provider Name (Legal Business Name): THREE RIVERS HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 PULLER HWY
SALUDA VA
23149-0415
US

IV. Provider business mailing address

P O BOX 415 2780 PULLER HWY
SALUDA VA
23149-0415
US

V. Phone/Fax

Practice location:
  • Phone: 804-758-2381
  • Fax: 804-758-4828
Mailing address:
  • Phone: 804-758-2381
  • Fax: 804-758-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number0401004548
License Number StateTN

VIII. Authorized Official

Name: MRS. LINDA D BELVIN
Title or Position: FISCAL TECH
Credential:
Phone: 804-758-2381