Organization
INTRAVENE LLC
Active
Parent organization
MEDICAL ASSOCIATES OF CENTRAL VIRGINIA INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDICAL ASSOCIATES OF CENTRAL VIRGINIA INC.
Authorized official
ROBERT BRENNAN MD (PRESIDENT)
(434) 947-3944
Entity
Organization
Contact information
Practice address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3900
Mailing address
2215 LANDOVER PL, LYNCHBURG, VA 24501-2115
(434) 947-3900
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
—
—
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
0201002819
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285902890
—
VA
Enumeration date
12/09/2011
Last updated
06/26/2012
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