NPIMap

Organization Active NPI

New River Valley Community Services

Doing business as NRVCS Primary Care

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1922633544
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW RIVER VALLEY COMMUNITY SERVICES
Doing business as
NRVCS Primary Care
Practice address
700 University City Blvd
Blacksburg, VA 24060-2706
Phone
(540) 961-8300
Fax
(540) 961-8465
NPI assigned
Mar 4, 2020
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW RIVER VALLEY COMMUNITY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Eva Duncan, CPAM
Title
Reimbursement Manager
Phone
(540) 961-8302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

700 University City Blvd
Blacksburg, VA 24060-2706

Mailing address

700 University City Blvd
Blacksburg, VA 24060-2706
Phone (540) 961-8300

Other practice location 1

401 W Main St
Radford, VA 24141-1588
Phone (540) 838-8000

Other practice location 2

327 N Washington Ave
Pulaski, VA 24301-5009
Phone (540) 994-5023

Other practice location 3

260 Webbs Mill Rd N
Floyd, VA 24091-3679
Phone (540) 745-2047

Other practice location 4

705 Wenonah Ave
Pearisburg, VA 24134-1660
Phone (540) 921-2238

Other names 1

  • NRVCS Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040417000460 VA Part B Supplier - Clinic/Group Practice 3173518230 Receives reassigned benefits from 89 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pulaski, VA; Radford, VA; Floyd, VA; Blacksburg, VA; Pearisburg, VA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
MNTL HLTH Ser New RVR V3 organizations share this tax ID, including this one
Part of
MNTL HLTH Ser New RVR V

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

705 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2238

1042 E Main St
Pulaski, VA 24301
Phone (540) 440-3150

401 W Main St
Radford, VA 24141
Phone (540) 838-8000

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1922633544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 UNIVERSITY CITY BLVD",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240602706",
            "telephone_number": "540-961-8300",
            "fax_number": "540-961-8465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Main St",
            "address_purpose": "LOCATION",
            "city": "Radford",
            "state": "VA",
            "postal_code": "241411588",
            "country_code": "US",
            "telephone_number": "540-838-8000",
            "fax_number": "540-904-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "327 N Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "VA",
            "postal_code": "243015009",
            "country_code": "US",
            "telephone_number": "540-994-5023",
            "fax_number": "540-994-5028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Webbs Mill Rd N",
            "address_purpose": "LOCATION",
            "city": "Floyd",
            "state": "VA",
            "postal_code": "240913679",
            "country_code": "US",
            "telephone_number": "540-745-2047",
            "fax_number": "540-322-1835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Wenonah Ave",
            "address_purpose": "LOCATION",
            "city": "Pearisburg",
            "state": "VA",
            "postal_code": "241341660",
            "country_code": "US",
            "telephone_number": "540-921-2238",
            "fax_number": "540-921-1028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW RIVER VALLEY COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW RIVER VALLEY COMMUNITY SERVICES",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "540-961-8302",
        "authorized_official_credential": "CPAM"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRVCS Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.