Gatson Service Provider

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

GATSON SERVICE PROVIDER

Practice address

2902 Noble Ave
Richmond, VA 23222-3541

Phone

(804) 398-1204

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Ophelia E Gatson

Title

Pastor

Phone

(804) 398-1204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1376950865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 NOBLE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223541",
            "telephone_number": "804-398-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 NOBLE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232223541",
            "telephone_number": "804-398-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATSON SERVICE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GATSON",
        "authorized_official_first_name": "OPHELIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "804-398-1204"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Richmond, VA
• Providers in Richmond, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.