National Provider Identifier Database

INTENSIVE COMMUNITY OUTREACH SERVICES LLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

INTENSIVE COMMUNITY OUTREACH SERVICES LLC
501 E FRANKLIN ST
SUITE 516
RICHMOND, VA23219-2322
Phone: 804-317-7777
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for INTENSIVE COMMUNITY OUTREACH SERVICES LLC

NPI Number 1639335987
Legal business name
LBN
INTENSIVE COMMUNITY OUTREACH SERVICES LLC
Authorized official BERNARD HEYWARD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/05/2008
Last updated 08/05/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 118542

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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