Organization
DEPT OF VETERANS AFFAIRS
Active
Other names
McGuire VA Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SEPICH (DIRECTOR)
(804) 675-5000
Entity
Organization
Contact information
Practice address
1201 BROAD ROCK BLVD, 2L147, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5667
Mailing address
1201 BROAD ROCK BLVD, 2L147, RICHMOND, VA 23249-0001
(804) 675-5000
(804) 675-5667
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
0904007555
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904007555
LICENSED CLINICAL SOCIAL WORKER
VA
Enumeration date
10/28/2011
Last updated
10/28/2011
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