Organization Active NPI

Dominion Family Care, LLC

Doing business as AFC Urgent Care Glen Allen

  • Family Medicine Physician
  • Glen Allen, VA
National Provider Identifier
1497282503
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DOMINION FAMILY CARE, LLC
Doing business as
AFC Urgent Care Glen Allen
Practice address
4101 Dominion Blvd
Glen Allen, VA 23060-3457
Phone
(804) 747-5555
Fax
(804) 747-5550
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Andrea L Hall, MD
Title
Medical Director
Phone
(804) 747-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4101 Dominion Blvd
Glen Allen, VA 23060-3457

Mailing address

4101 Dominion Blvd
Glen Allen, VA 23060-3457
Phone (804) 747-5555

Other names 1

  • AFC Urgent Care Glen Allen Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497282503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 DOMINION BLVD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603457",
            "telephone_number": "804-747-5555",
            "fax_number": "804-747-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 DOMINION BLVD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603457",
            "telephone_number": "804-747-5555",
            "fax_number": "804-747-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-747-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFC Urgent Care Glen Allen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Allen, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.