Provider Demographics
NPI:1538486063
Name:RICHMOND CITY HEALTH DISTRICT
Entity Type:Organization
Organization Name:RICHMOND CITY HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:TEU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:804-205-3741
Mailing Address - Street 1:400 E CARY ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-3816
Mailing Address - Country:US
Mailing Address - Phone:804-205-3500
Mailing Address - Fax:
Practice Address - Street 1:400 E CARY ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-3816
Practice Address - Country:US
Practice Address - Phone:804-205-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-23
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024168287261Q00000X, 261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center