Centel Healthcare Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

07266125 Issued in VA

Legal business name

CENTEL HEALTHCARE INC

Practice address

803 Hinton St
Suite 308
Petersburg, VA 23803-3028

Phone

(804) 943-6208

NPI assigned

Dec 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Acey Tucker

Title

Chief Executive Officer

Phone

(804) 943-6208

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1780929364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "address_2": "PETERSBURG",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238042429",
            "telephone_number": "804-943-6208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 HINTON ST",
            "address_2": "SUITE 308",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238033028",
            "telephone_number": "804-943-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTEL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ACEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-943-6208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "07266125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.