NPIMap

Organization Active NPI

Atlantic Coast Athletic Clubs of Virginia, Inc

  • Community Health Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1962064089
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
ATLANTIC COAST ATHLETIC CLUBS OF VIRGINIA, INC
Practice address
500 Albemarle SQ
Charlottesville, VA 22901-7405
Phone
(434) 978-3800
NPI assigned
Jun 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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

Authorized official

Name
Brad Simpson
Title
Vice President-Strategic Initiative
Phone
(434) 974-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

500 Albemarle SQ
Charlottesville, VA 22901-7405

Mailing address

455 2ND St SE Ste 301
Charlottesville, VA 22902-5697
Phone (434) 974-9890

Other practice location 1

11212 McCormick Rd
Hunt Valley, MD 21031-1122
Phone (410) 584-7888

Other practice location 2

110 W Timonium Rd
Lutherville Timonium, MD 21093-7300
Phone (410) 453-9111

Other practice location 3

2201 Old Brick Rd
Glen Allen, VA 23060-5839
Phone (804) 464-0990

Other practice location 4

11621 Robious Rd
Midlothian, VA 23113-2333
Phone (804) 378-1600

National Provider Directory

National Provider Directory

Locations

11212 McCormick Rd
Hunt Valley, MD 21031
Phone (410) 584-7888

500 Albemarle Sq
Charlottesville, VA 22901
Phone (434) 878-3800

455 2nd St SE
Ste 301
Charlottesville, VA 22902

Practitioners & affiliated clinicians

Practitioners 6

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": "1561766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561766400000",
    "number": "1962064089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 2ND ST SE STE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025697",
            "telephone_number": "434-974-9890",
            "fax_number": "434-974-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-978-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11212 McCormick Rd",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210311122",
            "country_code": "US",
            "telephone_number": "410-584-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W Timonium Rd",
            "address_purpose": "LOCATION",
            "city": "Lutherville Timonium",
            "state": "MD",
            "postal_code": "210937300",
            "country_code": "US",
            "telephone_number": "410-453-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Old Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230605839",
            "country_code": "US",
            "telephone_number": "804-464-0990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11621 Robious Rd",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231132333",
            "country_code": "US",
            "telephone_number": "804-378-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTIC COAST ATHLETIC CLUBS OF VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-29",
        "last_updated": "2019-06-29",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "VICE PRESIDENT-STRATEGIC INITIATIVE",
        "authorized_official_telephone_number": "434-974-9890"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.