Provider Demographics
NPI:1871161216
Name:CA HEALTH SERVICES
Entity type:Organization
Organization Name:CA HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:CHAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-521-2697
Mailing Address - Street 1:557 JOHN BAKER RD
Mailing Address - Street 2:
Mailing Address - City:FIELDALE
Mailing Address - State:VA
Mailing Address - Zip Code:24089-3340
Mailing Address - Country:US
Mailing Address - Phone:276-521-2696
Mailing Address - Fax:276-681-5940
Practice Address - Street 1:557 JOHN BAKER RD
Practice Address - Street 2:
Practice Address - City:FIELDALE
Practice Address - State:VA
Practice Address - Zip Code:24089-3340
Practice Address - Country:US
Practice Address - Phone:276-521-2696
Practice Address - Fax:276-681-5940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care