Provider Demographics
NPI:1366785081
Name:UNIVERSITY OF VIRGINIA
Entity type:Organization
Organization Name:UNIVERSITY OF VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-OUTPATIENT CARDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-243-1000
Mailing Address - Street 1:2955 IVY RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-9353
Mailing Address - Country:US
Mailing Address - Phone:434-243-4769
Mailing Address - Fax:434-243-4747
Practice Address - Street 1:2955 IVY RD
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-9353
Practice Address - Country:US
Practice Address - Phone:434-243-4769
Practice Address - Fax:434-243-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities