Basic Information
| Provider Information | |||||||||
| NPI: | 1770669673 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ORTHOCARERN RICHMOND VA INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 ARBORETUM PL | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232363475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043305544 | ||||||||
| FaxNumber: | 8043305554 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 ARBORETUM PL | ||||||||
| Address2: | SUITE 510 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232363475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043305544 | ||||||||
| FaxNumber: | 8043305554 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2006 | ||||||||
| LastUpdateDate: | 07/11/2007 | ||||||||
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| AuthorizedOfficialLastName: | CROTSER | ||||||||
| AuthorizedOfficialFirstName: | ROB | ||||||||
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| AuthorizedOfficialTitleorPosition: | EXECUTIVE VP COO | ||||||||
| AuthorizedOfficialTelephone: | 7033912772 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251E00000X | Y | Agencies | Home Health |
No ID Information.