OrganizationActive
Doc Box
NPI 1366323941 · Urgent Care Clinic/Center · Glen Allen, VA
Provider details
- NPI number
- 1366323941
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jackson Green, Administrator(804) 286-6224
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
2400 Old Brick Rd Ste 60
Glen Allen, VA 23060-5841
Phone: (804) 286-6224
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Old Brick Rd Ste 60
Glen Allen, VA 23060-5841
Registry dates
- Enumerated
- 2025-09-10
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.