Provider Demographics
NPI:1346759420
Name:AHCC I, LLC
Entity Type:Organization
Organization Name:AHCC I, LLC
Other - Org Name:AFTERHOURS PEDIATRICS-WEST END
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:DEUTSCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-742-3077
Mailing Address - Street 1:1521 HUGUENOT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2474
Mailing Address - Country:US
Mailing Address - Phone:804-338-3987
Mailing Address - Fax:
Practice Address - Street 1:3460 LAUDERDALE DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-7529
Practice Address - Country:US
Practice Address - Phone:804-742-3077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-21
Last Update Date:2017-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care