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NPI 1730555780 · Health Maintenance Organization · Bassett, VA
Provider details
- NPI number
- 1730555780
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jacquelene Stephenson, Owner(276) 421-2156
Specialties & taxonomies
Managed Care Organizations
Practice location
1713 Sunset Dr
Bassett, VA 24055-4834
Phone: (276) 421-2156
Fax: (276) 421-2157
Approximate (ZIP-level) locationGet directions
Mailing address
1713 Sunset Dr
Bassett, VA 24055-4834
Registry dates
- Enumerated
- 2015-08-13
- Last updated
- 2015-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.