Accredited Healthcare Corp

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

ACCREDITED HEALTHCARE CORP

Practice address

4602 Westgrove CT
Suite B
Virginia Beach, VA 23455-5414

Phone

(757) 201-3502

Fax

(757) 671-3345

NPI assigned

May 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David O Etute

Title

President/Ceo

Phone

(757) 201-3502

Specialties & licenses 1

Addresses

Other names 1

• NONE Former legal business name

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1578721361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 WEST GROVE COURT",
            "address_2": "SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555414",
            "telephone_number": "757-201-3502",
            "fax_number": "757-671-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 WESTGROVE CT",
            "address_2": "SUITE B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555414",
            "telephone_number": "757-201-3502",
            "fax_number": "757-671-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-28",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ETUTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "757-201-3502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Maintenance Organization in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.