Provider Demographics
| NPI: | 1003853995 |
|---|---|
| Name: | ANCHOR HEALTHCARE, PLC |
| Entity type: | Organization |
| Organization Name: | ANCHOR HEALTHCARE, PLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | ADMINISTRATOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GENEVIEVE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BLAIR |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 434-975-7777 |
| Mailing Address - Street 1: | 900 RIO EAST CT |
| Mailing Address - Street 2: | STE. A |
| Mailing Address - City: | CHARLOTTESVILLE |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 22901-8040 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 434-975-7777 |
| Mailing Address - Fax: | 434-975-7774 |
| Practice Address - Street 1: | 900 RIO EAST CT |
| Practice Address - Street 2: | STE. A |
| Practice Address - City: | CHARLOTTESVILLE |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 22901-8040 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 434-975-7777 |
| Practice Address - Fax: | 434-975-7774 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | Yes |
| Parent Organization LBN: | ANCHOR HEALTHCARE, PLC |
| Parent Organization TIN: | <UNAVAIL> |
| Enumeration Date: | 2006-06-01 |
| Last Update Date: | 2022-08-10 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty |