The Broad Street Center

LBN: The Daily Planet Inc
The Broad Street Center is an health care organization with primary practice located at 107 S 5Th St , Richmond VA 23219-3825. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. The Daily Planet Inc can be contacted via phone (804) 719-4000, or through Prizio, Peter via phone (804) 783-2505.

Contact Information

Primary practice address
107 S 5Th St Richmond VA 23219-3825
Phone: (804) 719-4000
Fax: (804) 783-2514
Website:
Map and Directions
Authorized official contact:
Name: Prizio, Peter
Phone: (804) 783-2505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1982992608
LBN Legal business name The Daily Planet Inc
DBA Doing business as The Broad Street Center
Authorized official Prizio, Peter
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2011
Last updated Dec 4th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982992608 NPPES
Virginia MEDICAID 1982992608

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