Provider Demographics
NPI:1669538047
Name:UVA CULPEPER MEDICAL CENTER
Entity type:Organization
Organization Name:UVA CULPEPER MEDICAL CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:D
Authorized Official - Last Name:CODER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-835-2069
Mailing Address - Street 1:PO BOX 800750
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0750
Mailing Address - Country:US
Mailing Address - Phone:434-924-8344
Mailing Address - Fax:
Practice Address - Street 1:501 SUNSET LN
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-3917
Practice Address - Country:US
Practice Address - Phone:540-829-4100
Practice Address - Fax:540-829-5792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X, 343900000X
VAH1848282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No3416L0300XTransportation ServicesAmbulanceLand Transport
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000137830OtherANTHEM OUTPATIENT
VA004900197Medicaid
259239OtherSOUTHERN HEALTH ( MADISON
259990OtherSOUTHERN HEALTH (OC)
VA94241Medicaid
597267OtherUNITED HEALTHCARE (CRH)
000067OtherANTHEM
0006560190OtherAETNA
VA4900197Medicaid
0000000137825OtherANTHEM OUTPATIENT #2
2629848OtherUNITED HEALTHCARE (OC)
2629855OtherUNITED HEALTHCARE (MADISO
293753MD1OtherM.D. IPA HEALTH PLAN
26668OtherSOUTHERN HEALTH (CRH)
2937530C1OtherOPTIMUM CHOICE
293753ML2OtherMAMSI LIFE & HEALTH
VAAMB 010072042Medicaid
259990OtherSOUTHERN HEALTH (OC)