Provider Demographics
NPI:1487982864
Name:NOW FAITH THAT WORKS CHRISTIAN CHURCH
Entity type:Organization
Organization Name:NOW FAITH THAT WORKS CHRISTIAN CHURCH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ORDAINED PASTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:B
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PASTOR
Authorized Official - Phone:804-957-6389
Mailing Address - Street 1:PO BOX 3844
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8470
Mailing Address - Country:US
Mailing Address - Phone:804-957-6389
Mailing Address - Fax:804-957-6389
Practice Address - Street 1:5923 CHURCH RD
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-4534
Practice Address - Country:US
Practice Address - Phone:804-957-6389
Practice Address - Fax:804-957-6389
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NOW FAITH THAT WORKS CHRISTIAN CHURCH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-24
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904003479251S00000X
251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251S00000XAgenciesCommunity/Behavioral Health