Organization Active NPI

Virginia Medical Crisis Aid Corp

  • Health Maintenance Organization
  • Norfolk, VA
National Provider Identifier
1184409195
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
VIRGINIA MEDICAL CRISIS AID CORP
Practice address
804 Whitaker LN
Norfolk, VA 23510-3027
Phone
(757) 769-0587
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Raymond Farrarq, QMHP-A & C
Title
Program Director
Phone
(804) 519-2378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

804 Whitaker LN
Norfolk, VA 23510-3027

Mailing address

2107 Pretty Lake Ave Apt 8
Norfolk, VA 23518-1015
Phone (804) 519-2378

Other practice location 1

2107 Pretty Lake Ave Apt 8
Norfolk, VA 23518-1015
Phone (804) 519-2378

National Provider Directory

National Provider Directory

Locations

804 Whitaker Ln
Norfolk, VA 23510
Phone (757) 393-6363

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1184409195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 PRETTY LAKE AVE APT 8",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235181015",
            "telephone_number": "804-519-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WHITAKER LN",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103027",
            "telephone_number": "757-769-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Pretty Lake Ave Apt 8",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235181015",
            "country_code": "US",
            "telephone_number": "804-519-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRGINIA MEDICAL CRISIS AID CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "FARRARQ",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-519-2378",
        "authorized_official_credential": "QMHP-A & C"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.