Provider Demographics
NPI:1093084063
Name:VIRGINIA COMMONWEALTH UNIVERSITY
Entity Type:Organization
Organization Name:VIRGINIA COMMONWEALTH UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOC VP FOR RESEARCH & COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-828-6772
Mailing Address - Street 1:800 E. LEIGH STREET
Mailing Address - Street 2:BOX 843039
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23284-3039
Mailing Address - Country:US
Mailing Address - Phone:804-828-0033
Mailing Address - Fax:804-828-8644
Practice Address - Street 1:800 E. LEIGH STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23284-3039
Practice Address - Country:US
Practice Address - Phone:804-828-0033
Practice Address - Fax:804-828-8644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)