Healthcare Provider Details
I. General information
NPI: 1487171575
Provider Name (Legal Business Name): AMERICAN ACCESS CARE OF RICHMOND ASC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/29/2017
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2235 STAPLES MILL RD STE 104
RICHMOND VA
23230-2942
US
IV. Provider business mailing address
PO BOX 419643
BOSTON MA
02241-9643
US
V. Phone/Fax
- Phone: 804-355-9729
- Fax:
- Phone: 610-644-8900
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA1903X |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREGG
A
MILLER
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 717-515-4048