Provider Demographics
NPI:1518718147
Name:CAP CITY HEALTH NETWORK LLC
Entity Type:Organization
Organization Name:CAP CITY HEALTH NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIRA
Authorized Official - Middle Name:MOSTAFA
Authorized Official - Last Name:ABDELMAGID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-873-0147
Mailing Address - Street 1:4703 E CARYHURST RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-5601
Mailing Address - Country:US
Mailing Address - Phone:804-873-0147
Mailing Address - Fax:
Practice Address - Street 1:4703 E CARYHURST RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5601
Practice Address - Country:US
Practice Address - Phone:804-873-0147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health