Healthcare Provider Details

I. General information

NPI: 1588665376
Provider Name (Legal Business Name): CITY OF RICHMOND PUBLIC HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N 10TH ST ROOM 109
RICHMOND VA
23219-1518
US

IV. Provider business mailing address

900 E MARSHALL ST
RICHMOND VA
23219-1538
US

V. Phone/Fax

Practice location:
  • Phone: 804-646-5012
  • Fax: 804-646-6889
Mailing address:
  • Phone: 804-646-5883
  • Fax: 804-646-3111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JANICE MARIE CARSON
Title or Position: DIRECTOR OF PUBLIC HEALTH
Credential: MD
Phone: 804-646-5883