Organization
COMMONWEALTH HOSP SVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPRING WILLIAMS (ADMINISTRATOR)
(804) 521-5315
Entity
Organization
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4951
(804) 289-5623
Mailing address
4050 INNSLAKE DR, SUITE 308, GLEN ALLEN, VA 23060-3327
(804) 521-5315
(804) 521-5312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497935365
—
VA
01
—
302011
ANTHEM
VA
01
—
619583
SOUTHERN HEALTH
VA
01
—
DN0296
MEDICARE RAILROAD
VA
Enumeration date
11/08/2007
Last updated
09/15/2011
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