District Three Governmental Cooperative

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

DISTRICT THREE GOVERNMENTAL COOPERATIVE

Practice address

4453 Lee Hwy
Marion, VA 24354-4269

Phone

(276) 783-8157

Fax

(276) 783-3003

NPI assigned

Mar 6, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mike Guy

Title

Executive Director

Phone

(276) 783-8157

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1376083634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 LEE HWY",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544269",
            "telephone_number": "276-783-8157",
            "fax_number": "276-783-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 LEE HWY",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544269",
            "telephone_number": "276-783-8157",
            "fax_number": "276-783-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTRICT THREE GOVERNMENTAL COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "276-783-8157",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087402670",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Marion, VA
• Providers in Marion, VA by specialty
• Case Manager/Care Coordinator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.