Provider Demographics
NPI:1861553927
Name:ROANOKE VALLEY HEALTH SERVICES
Entity type:Organization
Organization Name:ROANOKE VALLEY HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-535-1398
Mailing Address - Street 1:244 SMITH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4956
Mailing Address - Country:US
Mailing Address - Phone:252-537-5631
Mailing Address - Fax:252-537-7198
Practice Address - Street 1:244 SMITH CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4956
Practice Address - Country:US
Practice Address - Phone:252-537-5631
Practice Address - Fax:252-537-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty