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NPI Code Detail

MEDICARE: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY

MEDICARE: VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0002XClinic Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811079973
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY
Provider Business Mailing Address
First Line : PO BOX 758997
Second Line :
City : BALTIMORE
State : MD
Zip : 21275-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9000 STONY POINT PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1900
Country : US
Telephone Number : 804-828-6315
Fax Number :
Authorized Official
Title or Position : VP FINANCE AND ACCOUNTING
Name : MRS. ELIZABETH D ALLEN
Credential :
Telephone Number : 804-628-1338
Provider Enumeration Date : 10/19/2006
Last Update Date : 11/01/2022

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Directions to “VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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