Active NPI
Virginia Medical Crisis Aid Corp
- Health Maintenance Organization
- Norfolk, VA
National Provider Identifier
1184409195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Chester, VA
- NPI 1740130996
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
- Virginia CVS Pharmacy LLC (CVS Pharmacy #16433)
- Virginia CVS Pharmacy LLC (CVS Pharmacy # 10021)
- Virginia CVS Pharmacy, L.L.C. (Cvs Pharmacy #17956)
- Virginia Dermatology & Skin Cancer Center PLLC
- Virginia Eye Consultants Inc (Commonwealth Eye Care Associates)
- Virginia Medical Specialists, PLC (Infectious Disease Consultants of Hampton Roads)
- Virginia Oncology Associates
- Virginia Oncology Associates
- Virginia Ophthalmology Associates
- Virginia Ophthalmology Associates, P.C.
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.