VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (NPI# 1164056941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164056941 |
| Entity Type | Organization |
| Organization Name | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY |
| Practice Address |
2495 Pocahontas Trl Quinton VA 23141-1637 |
| Mailing Address |
Po Box 758997 Baltimore MD 21275-0001 |
| Practice Telephone | 8049325500 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MELINDA SUMMERLIN HANCOCK (CFO) |
| Authorized Official Telephone | 8046283343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 00003 | 01 |
| Other Name | Type Code |
|---|---|
| VCU Health at New Kent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000473 | Virginia Commonwealth University Health System Authority | Clinic/Center | 607 N 10th St, Richmond, VA 23298-5014 | 2019-06-04 |
| 1972026243 | Virginia Commonwealth University Health System Authority | Pharmacy | 11958 W Broad St Fl 2, Henrico, VA 23233-1007 | 2017-07-19 |
| 1548317308 | Virginia Commonwealth University Health System Authority | Clinic/Center | 1300 W Broad St, Richmond, VA 23284-9089 | 2007-01-04 |
| 1588298368 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1548821630 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2019-06-28 |
| 1720506116 | Virginia Commonwealth University Health System Authority | Pharmacy | 1000 E Broad St, Richmond, VA 23219-1930 | 2017-09-06 |
| 1093238206 | Virginia Commonwealth University Health System Authority | Pharmacy | 1250 E Marshall St, Richmond, VA 23298-5023 | 2017-07-19 |
| 1780033050 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 11958 W Broad St, Henrico, VA 23233-1007 | 2016-06-08 |
| 1578940953 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| 1497132872 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | 701 E Franklin St Ste 1112, Richmond, VA 23219-2501 |
| Street Address |
2495 POCAHONTAS TRL |
| City | QUINTON |
| State | VA |
| Zip Code | 23141-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298368 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770906430 | Chaka Otey | Technician/Technologist | 8032 Airport Rd, Quinton, VA 23141 | 2014-01-30 |
| 1942528427 | New Kent Optical | Technician/Technologist | 25209 New Kent Highway, Quinton, VA 23141 | 2010-05-10 |
| 1558688499 | Jacqueline M Kowal | Technician/Technologist | 2520 New Kent Highway, Quinton, VA 23141 | 2010-05-03 |
| 1538179213 | Vicki L. Tibbs,dds,pc | Dentist | 2632 Pocahontas Trail, Quinton, VA 23141 | 2006-08-08 |
| 1205089208 | Carl William Mccrady | Dentist | 2690 Dispatch Rd, Quinton, VA 23141 | 2008-11-04 |
| 1255518726 | Vicki Lee Tibbs | Dentist | 2632 Pocahontas Trail, Quinton, VA 23141 | 2008-01-28 |
| 1053418384 | Allison S Mcinnis | Physician Assistant | 1850 Pocahontas Trail, Quinton, VA 23141-0007 | 2006-09-20 |
| 1285939314 | Alliance Specialty Transport Inc. | Secured Medical Transport (VAN) | 6710 Fairview Dr, Quinton, VA 23141-1139 | 2011-01-21 |
| 1538468541 | Alliance Specialty Transport, Inc | Non-emergency Medical Transport (VAN) | 6710 Fairview Dr, Quinton, VA 23141-1139 | 2011-03-17 |
| 1659711646 | Theresa Hayes | Occupational Therapist | 5406 Hemlock Rd, Quinton, VA 23141-1217 | 2013-07-05 |
| Find all providers in zip 23141 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1861989105 | Lgn Weight Loss, LLC | Clinic/Center | 1114 E Main St Ste 6, Lebanon, VA 24266-5014 | 2018-04-20 |
| 1346746484 | Flex Massage Therapy, Inc | Clinic/Center | 700 Baker Rd Ste 115, Virginia Beach, VA 23462-1034 | 2018-04-05 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1033579636 | Mt. State Ent & Facial Plastic Surgery, Inc. | Clinic/Center | 2 Westwood Professional Park, Bluefield, VA 24605 | 2016-02-25 |
| 1346615390 | Caring Center Pllc | Clinic/Center | 19465 Deerfield Ave Ste 410, Leesburg, VA 20176-1708 | 2015-12-02 |
| 1093148314 | Ready Set Sleep Nurse LLC | Clinic/Center | 901 E Timber Branch Pkwy, Alexandria, VA 22302-3231 | 2013-08-11 |
| 1487944070 | Prince William Chiropractic Clinic | Clinic/Center | 2026 Opitz Blvd Ste B, Woodbridge, VA 22191-3332 | 2011-04-15 |
| 1356677306 | Hwang H. Junn Md Im/geri Plc | Clinic/Center | 4216 Evergreen Lane, Suite 111, Annandale, VA 22003-3253 | 2009-10-27 |
| 1891925509 | Dulles Internal Medicine, PC | Clinic/Center | 22636 Glenn Dr Ste 101, Sterling, VA 20164-4442 | 2009-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.