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UVA COMMUNITY HEALTH MEDICAL GROUP LLC NPI 1972978195


NPI Information

NPI: 1972978195
Provider Name: UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Doing Business As: UVA HEALTH URGENT CARE AND OCCUPATIONAL MEDICINE BRISTOW

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 49D2105054

Address:
10322 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136
Phone: (571) 284-4245
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UVA COMMUNITY HEALTH MEDICAL GROUP, LLC is an emergency medicine in Bristow, VA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. UVA COMMUNITY HEALTH MEDICAL GROUP, LLC NPI is 1972978195. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uva Health Urgent Care And Occupational Medicine Bristow.

The provider's business location address is:

10322 BRISTOW CENTER DR
BRISTOW, VA
ZIP 20136-201
Phone: (571) 284-4245

The provider's authorized official is Charles D Coder .
The authorized official title is Cfo and has the following contact phone number (804) 835-2069.

The CLIA number assigned to this NPI record is 49D2105054 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 9/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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