NPIMap

Organization Active NPI

Dept of Veterans Affairs

  • Military Hospital
  • Richmond, VA
National Provider Identifier
1457637829
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
0904007555 Issued in VA
Legal business name
DEPT OF VETERANS AFFAIRS
Practice address
1201 Broad Rock Blvd
2L147
Richmond, VA 23249-0001
Phone
(804) 675-5000
Fax
(804) 675-5667
NPI assigned
Oct 28, 2011
Last updated
Oct 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Charles Sepich
Title
Director
Phone
(804) 675-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X 0904007555 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
2L147
Richmond, VA 23249-0001

Mailing address

1201 Broad Rock Blvd
2L147
Richmond, VA 23249-0001
Phone (804) 675-5000

Other identifiers 1

IdentifierTypeStateIssuer
0904007555OtherVALICENSED CLINICAL SOCIAL WORKER

Other names 1

  • McGuire VA Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Richmond Vamc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

1201 Broad Rock Blvd
#2L147
Richmond, VA 23249

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1457637829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "2L147",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5000",
            "fax_number": "804-675-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "2L147",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5000",
            "fax_number": "804-675-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "SEPICH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-675-5000"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "VA",
            "license": "0904007555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "0904007555",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGuire VA Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.