Provider Demographics
NPI:1669631917
Name:HUNTER HUNTER & HUNTER HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:HUNTER HUNTER & HUNTER HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-249-4740
Mailing Address - Street 1:121 WYCK ST STE 101A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5632
Mailing Address - Country:US
Mailing Address - Phone:804-249-4740
Mailing Address - Fax:804-249-4843
Practice Address - Street 1:121 WYCK ST STE 101A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5632
Practice Address - Country:US
Practice Address - Phone:804-249-4740
Practice Address - Fax:804-249-4843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO09439305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization