Organization
FOUNDATION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM EUGENE MASSENBURG JR. (PRESIDENT)
(804) 301-5242
Entity
Organization
Contact information
Practice address
300A TEMPLE LAKE DR, COLONIAL HEIGHTS, VA 23834-2972
(804) 301-5242
Mailing address
300A TEMPLE LAKE DR, COLONIAL HEIGHTS, VA 23834-2972
(804) 301-5242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/20/2019
Last updated
04/23/2026
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