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INTREPID OF TIDEWATER, INC.
NPI 1245904994
Family Medicine - Hospice and Palliative Medicine in Radford, VA

Active since August 05, 2021
101 W MAIN ST, RADFORD, VA 24141(540) 639-3280 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Intrepid Of Tidewater, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTREPID OF TIDEWATER, INC. (NPI 1245904994), doing business as Intrepid Palliative & Supportive Care, is a healthcare organization registered as a hospice and palliative medicine in Radford, Virginia and active in the NPI registry since August 2021. The organization lists Robert Parker, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1245904994
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameINTREPID OF TIDEWATER, INC.
Location Address101 W MAIN STRadford, VA 24141-1582
Mailing Address3220 Keller Springs Rd Ste 108Carrollton, TX 75006-5911
Phone(540) 639-3280
Organization SubpartNo
Authorized OfficialRobert ParkerChief Compliance Officer · (214) 445-3750
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1245904994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
101 W MAIN ST, Radford, VA 24141
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Other Names 1

Doing Business AsIntrepid Palliative & Supportive Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INTREPID OF PIEDMONT RIDGE, INC.
Hospice Care, Community Based
101 W MAIN ST
RADFORD, VA 24141
Radford City (540) 639-3280
FC OF VIRGINIA INC
Home Health
101 W MAIN ST
RADFORD, VA 24141
Radford City (540) 731-3295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intrepid Of Tidewater, Inc.'s NPI number?

The NPI number for Intrepid Of Tidewater, Inc. is 1245904994. It was assigned to this organization in the NPPES registry on August 5, 2021. The provider is doing business as Intrepid Palliative & Supportive Care.

Where is Intrepid Of Tidewater, Inc. located?

Intrepid Of Tidewater, Inc. is located at 101 W Main St, Radford, VA 24141. The listed phone number is (540) 639-3280.

What is Intrepid Of Tidewater, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

When was this NPI record last updated?

The NPPES record for Intrepid Of Tidewater, Inc. was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.