MEDICARE: AHCC II, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center		VA

General Provider Information

NPI Number	:	1609305721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHCC II, LLC

Provider Business Mailing Address
First Line	:	9020 STONY POINT PKWY STE 165
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-1960
Country	:	US
Telephone Number	:	804-377-8981
Fax Number	:

Provider Business Practice Location Address
First Line	:	9020 STONY POINT PKWY STE 165
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23235-1960
Country	:	US
Telephone Number	:	804-377-8981
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	DAVID A SUTHERLAND
Credential	:
Telephone Number	:	804-377-8981

Provider Enumeration Date	:	06/12/2017
Last Update Date	:	03/05/2026

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