# VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VCU Health Neuroscience,Orthopaedic and Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780033050
- **Authorized official:** MR. JOHN DUVAL (CEO)
- **Authorized official phone:** (804) 828-0938

## Contact information

- **Practice address:** 11958 W BROAD ST, HENRICO, VA 23233-1007
- **Practice address phone:** (804) 628-6643
- **Mailing address:** PO BOX 758997, BALTIMORE, MD 21275-8997
- **Mailing address phone:** (804) 628-6643

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | H1875 | VA | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 06/08/2016