PINNACLE TREATMENT CENTERS VA-I, LLC (NPI# 1356854277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356854277 |
| Entity Type | Organization |
| Organization Name | PINNACLE TREATMENT CENTERS VA-I, LLC |
| Other Organization Name | FCCR FREDERICKSBURG |
| Practice Address |
11720 Main St Ste 108 Fredericksburg VA 22408 |
| Mailing Address |
1317 Route 73 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 5407359350 |
| Mailing Telephone | 8565338762 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| FCCR Fredericksburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750872966 | Pinnacle Treatment Centers Va-i, LLC | Clinic/Center | 4906 Radford Ave, Richmond, VA 23230-3512 | 2018-05-23 |
| 1558874461 | Pinnacle Treatment Centers Va-i, LLC | Clinic/Center | 905 Southlake Blvd Ste C, North Chesterfield, VA 23236-3955 | 2017-11-14 |
| Street Address |
11720 MAIN ST STE 108 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225259021 | Kathleen South | Counselor | 11720 Main St Ste 108, Fredericksburg, VA 22408-7329 | 2007-05-01 |
| 1083253322 | Kristin Deslauriers Braun | Counselor | 11720 Main St Ste 108, Fredericksburg, VA 22408-7368 | 2020-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1992063234 | Gustavo A Elias | Radiology | 10401 Spotsylvania Ave Ste 203, Fredericksburg, VA 22408 | 2012-04-24 |
| Find all providers in zip 22408 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1710540919 | American Addiction Treatment Center, Inc | Clinic/Center | 6983c Mid County Ln, Hayes, VA 23072-2833 | 2019-04-15 |
| 1932762127 | American Addiction Treatment Center, Inc | Clinic/Center | 5583 Mooretown Rd Ste B, Williamsburg, VA 23188-2111 | 2019-04-15 |
| 1447813639 | American Addiction Treatment Center, Inc | Clinic/Center | 12695 Mcmanus Blvd Bldg 2, Newport News, VA 23602-4458 | 2019-04-15 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1649786260 | Aspire Treatment & Recovery Center of Virginia | Clinic/Center | 4445 Corporation Ln Ste 144, Virginia Beach, VA 23462-3262 | 2017-12-19 |
| 1437608437 | Leesburg Treatment Services, LLC | Clinic/Center | 681 Hioaks Rd Ste J, Richmond, VA 23225-4043 | 2016-10-02 |
| 1023499837 | Metro Treatment of Virginia Lp | Clinic/Center | 30 Baxter Dr, Suite 170 and 180, Harrisonburg, VA 22801-4621 | 2015-06-17 |
| 1093108755 | Virginia Treatment Center, LLC | Clinic/Center | 4000 Murray Pl, Lynchburg, VA 24501-5004 | 2015-03-05 |
| 1396140240 | Affinity Healthcare | Clinic/Center | 5715 Princess Anne Rd, Suite 107, Virginia Bch, VA 23462-3222 | 2014-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.