Provider Demographics
NPI:1588665376
Name:CITY OF RICHMOND PUBLIC HEALTH
Entity Type:Organization
Organization Name:CITY OF RICHMOND PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-646-5883
Mailing Address - Street 1:900 E MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1538
Mailing Address - Country:US
Mailing Address - Phone:804-646-5883
Mailing Address - Fax:804-646-3111
Practice Address - Street 1:500 N 10TH ST
Practice Address - Street 2:ROOM 109
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1518
Practice Address - Country:US
Practice Address - Phone:804-646-5012
Practice Address - Fax:804-646-6889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00020FMedicare ID - Type Unspecified
VAP00207864Medicare ID - Type UnspecifiedRR