Provider Demographics
NPI:1972936110
Name:VIRGINIA URGENT AND EMERGENT MEDICAL SUPPORT
Entity Type:Organization
Organization Name:VIRGINIA URGENT AND EMERGENT MEDICAL SUPPORT
Other - Org Name:VUEMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONAL MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-293-8101
Mailing Address - Street 1:9702 GAYTON RD STE 256
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4907
Mailing Address - Country:US
Mailing Address - Phone:804-925-8101
Mailing Address - Fax:815-331-0684
Practice Address - Street 1:9702 GAYTON RD STE 256
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4907
Practice Address - Country:US
Practice Address - Phone:804-925-8101
Practice Address - Fax:815-331-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249122261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care