Sobrius at Bassett

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOBRIUS AT BASSETT

Practice address

9850 Virginia Ave
Bassett, VA 24055-5909

Phone

(276) 336-4331

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Allan Fullaway

Title

Cfo, Sobrius

Phone

(503) 329-6687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1659062115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CLIFFVIEW RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335084",
            "telephone_number": "276-601-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 VIRGINIA AVE",
            "city": "BASSETT",
            "state": "VA",
            "postal_code": "240555909",
            "telephone_number": "276-336-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIUS AT BASSETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "FULLAWAY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "CFO, SOBRIUS",
        "authorized_official_telephone_number": "503-329-6687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Patterson, RD
• Tabitha Ramey
• Tony Allen Ramsey, DDS
• Chelzie Reeves, LCSW
• Timothy R Robertson, RPH
• Michelle Leigh Sowder, COTA/L
• Patrice Spencer, NP
• Patricia T Spencer, OCCUPATIONAL THERAPI
• Stanleytown Operations LLC
• Virginia CVS Pharmacy LLC

• Substance Abuse Rehabilitation Facility in Bassett, VA
• Providers in Bassett, 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 May 16, 2023; 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.