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Virginia Commonwealth University Health System Authority
Clinic/Center in Richmond, Virginia
NPI 1548317308

Virginia Commonwealth University Health System Authority is a Clinic/Center based in Baltimore, VA. Virginia Commonwealth University Health System Authority practices in Richmond, VA. The NPI Number for Virginia Commonwealth University Health System Authority is 1548317308 and holds a License No. H1875 (Virginia).

The current practice location address for Virginia Commonwealth University Health System Authority is 1300 W Broad St, Richmond, VA and can be reached out via phone at 804-828-6315.

Location: 1300 W Broad St, Richmond, VA, 21275-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548317308
Provider Name
Virginia Commonwealth University Health System Authority
Credential
Provider Entity Type
Organization
Address
1300 W Broad St, Richmond, VA, 21275-0001
Phone Number
804-828-6315
Fax Number
Provider Enumeration Date
01/04/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180914 01 ANTHEM-VCU SPORTS MEDICIN
institution
Provider Business Practice Location Address Details
Address
1300 W Broad St
City
Richmond
State
Virginia
Zip
23284-9089
Phone Number
804-828-6315
Fax Number
person
Provider Business Mailing Address Details
Address
1300 W Broad St
City
Richmond
State
Virginia
Zip
23284-9089
Phone Number
804-828-6315
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
H1875 (Virginia)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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