Organization
VEMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA COBB (CLIENT ENROLLMENT SPECIALIST)
(616) 464-0098
Entity
Organization
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
Mailing address
2600 HORIZON DR SE, GRAND RAPIDS, MI 49546-3762
(616) 464-0098
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0024164906
VA
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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