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NPI Code Detail

MEDICARE: JAMES MADISON UNIVERSITY SHENANDOAH VALLEY CHILD DEVELOPMENT CLINIC

MEDICARE: JAMES MADISON UNIVERSITY SHENANDOAH VALLEY CHILD DEVELOPMENT CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1417065806
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES MADISON UNIVERSITY SHENANDOAH VALLEY CHILD DEVELOPMENT CLINIC
Provider Business Mailing Address
First Line : JMU MSC 9011
Second Line :
City : HARRISONBURG
State : VA
Zip : 22807-0001
Country : US
Telephone Number : 540-568-6687
Fax Number : 540-568-3875
Provider Business Practice Location Address
First Line : 601 UNIVERSITY BLVD
Second Line :
City : HARRISONBURG
State : VA
Zip : 22807-0001
Country : US
Telephone Number : 540-568-6687
Fax Number : 540-568-3875
Authorized Official
Title or Position : BILLING SPECIALIST
Name : KRIS CHRISTOPHEL
Credential :
Telephone Number : 540-568-2621
Provider Enumeration Date : 08/27/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
800 S MAIN ST
HARRISONBURG, VA
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Practice Phone: 336-706-3441
Practice Fax:
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Practice Location Address:
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HARRISONBURG, VA
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Practice Phone: 540-568-6178
Practice Fax: 540-568-6176
1811953342 — CONNIE LEE PETERSON ATC, PHD
Practice Location Address:
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HARRISONBURG, VA
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Practice Phone: 540-568-7085
Practice Fax: 540-568-3336
1730124553 — MR. JOHN MORGAN KALTENBORN MS, ATC, PES
Practice Location Address:
JAMES MADISON UNIVERSITY , MSC 2301 GODWIN HALL RM. 128
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Practice Fax: 540-568-6950
1366454472 — MISS VANESSA ELYSE TRONO ATC
Practice Location Address:
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Practice Phone: 540-568-7126
Practice Fax:
1982791406 — MRS. VICKIE ANN CAROTHERS CFNP
Practice Location Address:
UNIVERSITY HEALTH CENTER JAMES MADISON UNIVERSITY , MSC 7901
HARRISONBURG, VA
22807-0001
Practice Phone: 540-568-7321
Practice Fax:

Directions to “JAMES MADISON UNIVERSITY SHENANDOAH VALLEY CHILD DEVELOPMENT CLINIC ” Practice Location

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