Medicaid - Nurse Practitioners

LBN: Virginia Commonwealth University Health System
Medicaid - Nurse Practitioners is an health care organization with primary practice located at 1250 E Marshall St , Richmond VA 23298-5051. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Virginia Commonwealth University Health System can be contacted via phone (804) 828-6315, or through Puleo, Dominic J via phone (804) 828-1295.

Contact Information

Primary practice address
1250 E Marshall St Richmond VA 23298-5051
Phone: (804) 828-6315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Puleo, Dominic J
Phone: (804) 828-1295

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X H1875 Virginia

Profile Details

NPI number 1871640359
LBN Legal business name Virginia Commonwealth University Health System
DBA Doing business as Medicaid - Nurse Practitioners
Authorized official Puleo, Dominic J
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1871640359 NPPES
Virginia MEDICAID 7790554

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