Potomac Highlands Guild in Petersburg - Community/behavioral Health
Potomac Highlands Guild - NPI 1720273170
Potomac Highlands Guild is a Community/behavioral Health in Petersburg, . Potomac Highlands Guild practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Potomac Highlands Guild is 1720273170. The last update date is 2007-09-10.
Potomac Highlands Guild's current location address is 6 Park St, Petersburg, . You can contact this provider via phone number 3042571155 and fax number 3042571945. The mailing address for Potomac Highlands Guild is 6 Park St, Petersburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Potomac Highlands Guild |
|---|---|
| Address | 6 Park St, Petersburg, |
| Phone Number | 3042571155 |
| Fax Number | 3042571945 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PSYCHIATRI |
|---|---|
| Authorized Official Name | Raines S. Frederick |
| Credentials | MD |
| Telephone Number | 3042571155 |
NPI Number Detail
| NPI Number | 1720273170 |
|---|---|
| Provider Enumeration Date | 2007-09-10 |
| Last Updated Date | 2007-09-10 |
Provider Mailing Address Detail
| Address | 6 Park St |
|---|---|
| City | Petersburg |
| State | (WV) |
| Post Code | 268471765 |
| Phone Number | 3042571155 |
| Fax Number | 3042571945 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 14000 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5473000 | WV | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Potomac Highlands Guild by the Centers for Medicare & Medicaid Services (CMS)?
The Potomac Highlands Guild has been assigned the NPI (National Provider Identifier) 1720273170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Potomac Highlands Guild?
The Potomac Highlands Guild is physically situated at 6 Park St, in the city of Petersburg, state of WV, with the postal code 268471765.
What is Potomac Highlands Guild's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Potomac Highlands Guild is Community/behavioral Health, and the taxonomy code that categorizes this field of expertise is 251S00000X.
When was the Potomac Highlands Guild's 1720273170 issued?
The Potomac Highlands Guild's 1720273170 was issued on 2007-09-10.
When was the information pertaining to Potomac Highlands Guild most recently updated or revised?
The details related to Potomac Highlands Guild, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-10.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT