1194762294 NPI number — HCA HEALTH SERVICES OF VIRGINIA INC

Table of content: (NPI 1194762294)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194762294 NPI number — HCA HEALTH SERVICES OF VIRGINIA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCA HEALTH SERVICES OF VIRGINIA INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HENRICO DOCTORS' HOSPITAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194762294
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1602 SKIPWITH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23229-5205
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-289-4500
Provider Business Mailing Address Fax Number:
804-289-4801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1602 SKIPWITH RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23229-5205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-289-4500
Provider Business Practice Location Address Fax Number:
804-289-4801
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DENTON
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
804-289-4806

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 213360 . This is a "ALLIANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000840012X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 037074800 . This is a "BLACK LUNG" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4900118 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 902873100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 245617000 . This is a "MAGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 373310600 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7707509 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50124200030 . This is a "QUALCHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: XHSP33187 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000148 . This is a "WELLPOINT" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 10846B , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 164904700 . This is a "DEPT OF LABOR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01773986 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116257 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 004901185 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 304768934 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".




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