Petersburg Case Management & Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PETERSBURG CASE MANAGEMENT & SERVICES

Practice address

114 S Adams St
Petersburg, VA 23803-4511

Phone

(804) 721-3856

Fax

(804) 861-0426

NPI assigned

Dec 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Quincy Davis Sr.

Title

Administrator

Phone

(804) 721-3856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1942360201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238040725",
            "telephone_number": "804-721-3856",
            "fax_number": "804-861-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S ADAMS ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238034511",
            "telephone_number": "804-721-3856",
            "fax_number": "804-861-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSBURG CASE MANAGEMENT & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "QUINCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-721-3856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Petersburg, VA
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• Case Management Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.