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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for INTENSIVE COMMUNITY OUTREACH SERVICES LLC

NPI Number 1639335987
LBN Legal business name INTENSIVE COMMUNITY OUTREACH SERVICES LLC
Authorized official BERNARD HEYWARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2008
Last updated 08/05/2008 - About 18 years ago
Identifiers
VA License # 118542
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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