NPIMap

Organization Active NPI

Columbia/HCA John Randolph, Inc.

  • Ambulatory Surgical Clinic/Center
  • Colonial Heights, VA
National Provider Identifier
1932500485
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COLUMBIA/HCA JOHN RANDOLPH, INC.
Practice address
930 South Ave
Suite 2
Colonial Heights, VA 23834-3621
Phone
(804) 520-8272
Fax
(866) 847-5160
NPI assigned
Sep 15, 2014
Organization subpart
Yes
Parent organization
COLUMBIA/HCA JOHN RANDOLPH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Patrick Marek
Title
Cfo
Phone
(804) 452-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

930 South Ave
Suite 2
Colonial Heights, VA 23834-3621

Mailing address

930 South Ave
Suite 2
Colonial Heights, VA 23834-3621
Phone (804) 520-8272

Other names 1

  • Colonial Heights Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Columbia HCA John Rando8 organizations share this tax ID, including this one
Part of
Columbia HCA John Rando

Other organizations with this tax ID 7

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

Locations

930 South Ave
Ste 2
Colonial Hgts, VA 23834
Phone (804) 520-8272

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1932500485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-520-8272",
            "fax_number": "866-847-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SOUTH AVE",
            "address_2": "SUITE 2",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343621",
            "telephone_number": "804-520-8272",
            "fax_number": "866-847-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA/HCA JOHN RANDOLPH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA/HCA JOHN RANDOLPH, INC.",
        "enumeration_date": "2014-09-15",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "MAREK",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-452-3650"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Heights Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Heights Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.