Organization
THE DAILY PLANET INC
Active
Other names
The Broad Street Center
Organization subpart
No
Provider details
NPI number
Authorized official
PETER PRIZIO (EXECUTIVE DIRECTOR)
(804) 783-2505
Entity
Organization
Contact information
Practice address
107 S 5TH ST, RICHMOND, VA 23219-3825
(804) 719-4000
(804) 783-2514
Mailing address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
(804) 783-2514
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982992608
—
VA
Enumeration date
07/15/2011
Last updated
12/04/2012
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