OrganizationVa Medical CenterClinic/CenterAmbulatory Health Care FacilitiesPractice Address5 Treebark Pl, Hampton, VA 23666-2179(757) 224-3811PECOS EnrollmentBased on the most recent information from CMS, provider Va Medical Center does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1609052109Provider TypeOrganizationFull NameVa Medical CenterSubpartNoEnumeration Date1/14/2008Last Updated1/14/2008Contact InformationPractice LocationPractice Address5 Treebark Pl, Hampton, VA 23666-2179Phone(757) 224-3811FaxUnlisted FaxMailing LocationMailing Address5 Treebark Pl, Hampton, VA 23666-2179Phone(757) 224-3811FaxUnlisted FaxAuthorized OfficialNameWilliams, Jacqueline C (Credentialing Coordinator)Phone(757) 722-9961Provider TaxonomiesCodeDescriptionLicenseCode261QA1903XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense0001101054Virginia