Provider Demographics
NPI:1104835248
Name:EVMS HEALTH SERVICES
Entity Type:Organization
Organization Name:EVMS HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXEC. OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:LIND
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:757-446-7363
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-451-6266
Mailing Address - Fax:757-451-6251
Practice Address - Street 1:601 COLLEY AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1627
Practice Address - Country:US
Practice Address - Phone:757-451-6266
Practice Address - Fax:757-451-6251
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1003887118
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-07
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA49D0723270291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory