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NPI Code Detail

MEDICARE: THE WOODLAND INC

MEDICARE: THE WOODLAND INC
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
1314000000XSkilled Nursing FacilityNH2590VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000238527OTHERVAANTHEM OUTPATIENT
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3215748OTHERVAANTHEM PROVIDER NUMBER

General Provider Information

NPI Number : 1497751879
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WOODLAND INC
Provider Business Mailing Address
First Line : 2003 COBB ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-2603
Country : US
Telephone Number : 434-392-6106
Fax Number : 434-392-4736
Provider Business Practice Location Address
First Line : 2003 COBB ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-2603
Country : US
Telephone Number : 434-392-6106
Fax Number : 434-392-4736
Authorized Official
Title or Position : PRESIDENT CEO
Name : MR. GREGORY C COLE
Credential :
Telephone Number : 434-392-6106
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/20/2009

Similar Medicare Providers

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Practice Location Address:
2003 COBB ST
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23901-2603
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1164726352 — WOODLAND THERAPY & WELLNESS CENTER LLC
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1942597950 — MR. AKASH SHAH PT
Practice Location Address:
2003 COBB ST
FARMVILLE, VA
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1629401492 — JENNIFER RAE TAIWO L.P.T.A.
Practice Location Address:
2003 COBB ST
FARMVILLE, VA
23901-2603
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Practice Fax:
1497188056 — SHIVA DOWHOWER
Practice Location Address:
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Directions to “THE WOODLAND INC ” Practice Location

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