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Virginia Commonwealth University Health System Authority

Clinic/Center, Medical Specialty in Quinton, VA. Organization (NPI-2).

NPI number1164056941
StatusActive
Last updated in NPPESAug 31, 2022

Details

NPI
1164056941
Entity type
Organization (NPI-2)
Legal business name
Virginia Commonwealth University Health System Authority
Organization subpart
No
Enumeration date
Mar 2, 2020
Certification date
Aug 31, 2022
Last updated
Aug 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical Specialty––Yes

Other names

  • Vcu Health At New Kent (Doing Business As)

Practice location

2495 Pocahontas Trl
Quinton, VA 23141-1637

Phone 804-932-5500

Mailing address

Po Box 758997
Baltimore, MD 21275-0001

Authorized official

Elizabeth Allen
Vice President
8046281338

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