Organization
RAI CARE CENTERS OF VIRGINIA I, LLC
Active
Other names
RAI-Richmond Rd.-Williamsburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON M SUNDOCK (VICE PRESIDENT)
(615) 507-3307
Entity
Organization
Contact information
Practice address
7364 RICHMOND RD, WILLIAMSBURG, VA 23188-7220
(757) 220-3084
(757) 565-5318
Mailing address
115 EAST PARK DRIVE, SUITE 300, BRENTWOOD, TN 37027-7548
(615) 661-1100
(615) 507-3300
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201056
ANTHEM BCBS
VA
Enumeration date
07/07/2006
Last updated
08/22/2020
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