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Contact Information

GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE
2502 MELROSE AVENUE NW
ROANOKE, VA24017
 Phone: 540-581-0620
 Fax: 540-581-0628
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE

NPI Number 1427027341
LBN Legal business name GOODWILL INDUSTRIES OF THE VALLEYS - ROANOKE
Authorized official BRUCE PHIPPS - (PRESIDENT AND CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/14/2006
Last updated 05/29/2015 - About 11 years ago
Identifiers
VA License # 24002006
VA Medicaid 004946928
VA Medicaid 004947444
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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