NPIMap

Organization Active NPI

Virginia Commonwealth University Health System Authority

Doing business as VCU Health at New Kent

  • Medical Specialty Clinic/Center
  • Quinton, VA
National Provider Identifier
1164056941
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Doing business as
VCU Health at New Kent
Practice address
2495 Pocahontas TRL
Quinton, VA 23141-1637
Phone
(804) 932-5500
NPI assigned
Mar 2, 2020
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Allen
Title
Vice President
Phone
(804) 628-1338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

2495 Pocahontas TRL
Quinton, VA 23141-1637

Mailing address

PO Box 758997
Baltimore, MD 21275-0001

Other names 1

  • VCU Health at New Kent Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2180650Vcu Health New Kent Laboratory2495 Pocahontas Trail, Quinton, VA 23141AccreditationJun 22, 2027
49D2180653Vcu Health New Kent Emergency Department2495 Pocahontas Trail, Quinton, VA 23141Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Vcu Health System Autho35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1164056941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758997",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212750001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 POCAHONTAS TRL",
            "city": "QUINTON",
            "state": "VA",
            "postal_code": "231411637",
            "telephone_number": "804-932-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-628-1338"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCU Health at New Kent",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VCU Health at New Kent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.