Virginia Commonwealth University Health System Authority
Organization Active NPI Medical Specialty Clinic/Center · Quinton, VA
NPI 1164056941 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1164056941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
- Practice address
- 2495 Pocahontas TRL
Quinton, VA 23141-1637 - Phone
- (804) 932-5500
- NPI assigned
- Mar 2, 2020
- Organization subpart
- No
Authorized official
- Name
- Elizabeth Allen
- Title
- Vice President
- Phone
- (804) 628-1338
Corporate family (same tax ID) 34
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2180650 | Vcu Health New Kent Laboratory | Accreditation | Jun 22, 2027 |
| 49D2180653 | Vcu Health New Kent Emergency Department | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
- Tax ID family
- Medical College of VA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
2495 Pocahontas TRL
Quinton, VA 23141-1637
Mailing address
PO Box 758997
Baltimore, MD 21275-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00003 | Other | VA | ANTHEM |
Other names
- VCU Health at New Kent
Other providers in Quinton, VA
- Michelle Herbert Thomas
- Vicki Lee Tibbs
- Victoria E. Tschantz
- Mary Vann
- Vicki L. Tibbs, DDS, PC
- Virginia Commonwealth University Health System Authority
- Walgreen Co
- Erika Walker
- Christina Campbell Wills
- Esther Yoo
All providers in Quinton, VA · Medical Specialty Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.