Provider Demographics
NPI:1013523307
Name:INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Entity Type:Organization
Organization Name:INDIAN HEALTH SERVICE RICHMOND SERVICE UNIT
Other - Org Name:RICHMOND SERVICE UNIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:REMEDIOS
Authorized Official - Middle Name:DEE
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-405-5186
Mailing Address - Street 1:400 N 8TH ST # G-63
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4805
Mailing Address - Country:US
Mailing Address - Phone:804-622-0012
Mailing Address - Fax:804-622-0010
Practice Address - Street 1:400 N 8TH ST # G-63
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-4805
Practice Address - Country:US
Practice Address - Phone:804-622-0012
Practice Address - Fax:804-622-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No251B00000XAgenciesCase Management