Organization
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Active
Other names
VCU Health at New Kent
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ALLEN (VICE PRESIDENT)
(804) 628-1338
Entity
Organization
Contact information
Practice address
2495 POCAHONTAS TRL, QUINTON, VA 23141-1637
(804) 932-5500
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003
ANTHEM
VA
Enumeration date
03/02/2020
Last updated
08/31/2022
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