MED ATLANTIC INC NPI 1568489086

NPI Information

NPI: 1568489086
Provider Name: MED ATLANTIC INC

Other Name: MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
8228 MEADOWBRIDGE RD
MECHANICSVILLE, VA
ZIP 23116
Phone: (804) 730-5023
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MED ATLANTIC INC is an ambulatory surgical clinic center in Mechanicsville, VA. MED ATLANTIC INC NPI is 1568489086. The provider is registered as an organization entity type.
The provider Other Name Is Med Atlantic Inc Dba Urosurgical Ctr Of Richmond.

The provider's business location address is:

8228 MEADOWBRIDGE RD
MECHANICSVILLE, VA
ZIP 23116-331
Phone: (804) 730-5023

The provider's authorized official is Terry Coffey .
The authorized official title is Administrator and has the following contact phone number (804) 287-6100.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	OH679	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	490000003	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE
2	0597537	OTHER	VIRGINIA	AETNA PPO
3	007631405	MEDICAID	VIRGINIA
4	160657	OTHER	VIRGINIA	SOUTHERN HEALTH
5	490000221	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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