Basic Information
| Provider Information | |||||||||
| NPI: | 1699976019 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY OF VIRGINIA HEALTH SYSTEM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 215 VALLEY VIEW RD | ||||||||
| Address2: | |||||||||
| City: | RUCKERSVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229682606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349906502 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1215 LEE ST | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTESVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 229080001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4349240000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | RAGOSTA | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4349240000 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | 0024164548 | VA | Y | Hospitals | General Acute Care Hospital |
No ID Information.