Provider Demographics
NPI:1043838691
Name:CV HEALTH SERVICES INC
Entity type:Organization
Organization Name:CV HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:CATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-787-4490
Mailing Address - Street 1:8215 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4810
Mailing Address - Country:US
Mailing Address - Phone:818-787-4490
Mailing Address - Fax:818-787-4494
Practice Address - Street 1:8215 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4810
Practice Address - Country:US
Practice Address - Phone:818-787-4490
Practice Address - Fax:818-787-4494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-10
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty