Provider Demographics
NPI:1932588647
Name:ALLEGHANY HIGHLANDS COMMUNITY SERVICES
Entity type:Organization
Organization Name:ALLEGHANY HIGHLANDS COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-965-2135
Mailing Address - Street 1:205 E HAWTHORNE ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426-1620
Mailing Address - Country:US
Mailing Address - Phone:540-965-2135
Mailing Address - Fax:540-965-6371
Practice Address - Street 1:205 E HAWTHORNE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426-1620
Practice Address - Country:US
Practice Address - Phone:540-965-2135
Practice Address - Fax:540-965-6371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA127343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
C02692Medicare PIN