# VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VCU Health Orthopedics at South Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548821630
- **Authorized official:** MELINDA SUMMERLIN HANCOCK (CFO)
- **Authorized official phone:** (804) 628-3343

## Contact information

- **Practice address:** 325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
- **Practice address phone:** (804) 526-5888
- **Mailing address:** PO BOX 758997, BALTIMORE, MD 21275-0001
- **Mailing address phone:** (804) 628-6643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 06/28/2019
- **Last updated:** 06/28/2019