Arch Roanoke

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

021 Issued in VA

Legal business name

ARCH ROANOKE

Practice address

1109 Franklin Road, SW
Roanoke, VA 24016

Phone

(540) 344-8060

Fax

(540) 344-4695

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ali K. Hamed-Moore, MPA

Title

Executive Director

Phone

(540) 344-8060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1447227673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 ELM AVENUE, SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24016",
            "telephone_number": "540-344-8060",
            "fax_number": "540-344-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FRANKLIN ROAD, SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24016",
            "telephone_number": "540-344-8060",
            "fax_number": "540-344-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH ROANOKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "HAMED-MOORE",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-344-8060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "VA",
            "license": "021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gary L Aragon, M.D.
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• Elisabeth Jean Archer
• Kelly Victoria Ardrey
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• Substance Abuse Rehabilitation Facility in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Substance Abuse Rehabilitation Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.