Organization
MED ATLANTIC INC
Active
Other names
Med Atlantic Inc dba Urosurgical Ctr Of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY COFFEY (ADMINISTRATOR)
(804) 287-6100
Entity
Organization
Contact information
Practice address
8228 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2331
(804) 730-5023
Mailing address
9105 STONY POINT PKWY, RICHMOND, VA 23235-1979
(804) 287-6100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OH679
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007631405
—
VA
01
—
0597537
AETNA PPO
VA
01
—
160657
SOUTHERN HEALTH
VA
Enumeration date
07/17/2006
Last updated
03/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us