Healthcare Provider Details

I. General information

NPI: 1407122856
Provider Name (Legal Business Name): UVA CULPEPER MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2012
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SUNSET LN
CULPEPER VA
22701-3917
US

IV. Provider business mailing address

PO BOX 79511
BALTIMORE MD
21279-0511
US

V. Phone/Fax

Practice location:
  • Phone: 540-829-8842
  • Fax: 540-829-5792
Mailing address:
  • Phone: 540-829-8842
  • Fax: 540-829-5792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number255
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number255
License Number StateVA

VIII. Authorized Official

Name: CHARLES D CODER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 804-835-2069