1013320712 SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM

Exclusive Provider Organization

Active

Basic Information

Organization Name
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM
Enumeration Date
June 10, 2014
Last Update
June 10, 2014
Authorized Official
MR. JOHN N SKIRVEN
CEO
Phone: (757) 222-4510

Practice Location

Address
6350 CENTER DR
SUITE101
NORFOLK, VA 235024107
Phone
(757) 461-9481
Fax
(757) 461-1068

Mailing Address

Address
6350 CENTER DR
SUITE101
NORFOLK, VA 235024107
Phone
(757) 461-9481
Fax
(757) 461-1068

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization 1060267354 VA Primary

Other Identifiers

Identifier Type State Issuer
0160267354 05 VA N/A
0161745051 05 VA N/A

Frequently Asked Questions

What is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's NPI number?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's NPI number is 1013320712.
Which doctor has NPI number 1013320712?
The doctor with NPI number 1013320712 is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM.
What is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's practice address?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's practice address is 6350 CENTER DR, SUITE101, NORFOLK, VA, 235024107.
Which doctor practices at 6350 CENTER DR, SUITE101, NORFOLK, VA, 235024107?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM practices at 6350 CENTER DR, SUITE101, NORFOLK, VA, 235024107.
What is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's phone number?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's phone number is (757) 461-9481.
Who is (757) 461-9481?
(757) 461-9481 is the phone number for SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM.
What is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's specialty?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM's specialty is Exclusive Provider Organization.
What type of doctor is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM is a Exclusive Provider Organization.
Is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM a Exclusive Provider Organization?
Yes, SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM is a Exclusive Provider Organization.
Is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM still practicing?
Yes, SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM is currently practicing.
Is SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM accepting new patients?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM may be accepting new patients. Please call their office at (757) 461-9481 to inquire about availability.
Is NPI 1013320712 still active?
Yes, NPI 1013320712 is currently active.
Where does SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM practice?
SOUTHEASTERN VIRGINIA AREAWIDE MODEL PROGRAM practices in NORFOLK, VA.