Provider Demographics
NPI:1124485446
Name:VITAMED SYSTEM LLC
Entity type:Organization
Organization Name:VITAMED SYSTEM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNAMARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCHESE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-390-1426
Mailing Address - Street 1:840 JUNIPER CRES
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2628
Mailing Address - Country:US
Mailing Address - Phone:757-390-1426
Mailing Address - Fax:757-460-0013
Practice Address - Street 1:840 JUNIPER CRES
Practice Address - Street 2:SUITE 112
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2628
Practice Address - Country:US
Practice Address - Phone:757-390-1426
Practice Address - Fax:757-460-0013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-17
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies