Provider Demographics
NPI:1033475116
Name:MEDICAL CAREERS INSTITUTE
Entity type:Organization
Organization Name:MEDICAL CAREERS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KI NG
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:757-873-2423
Mailing Address - Street 1:5555 GREENWICH ROAD
Mailing Address - Street 2:ECPI UNIVERSITY
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:757-873-2423
Mailing Address - Fax:
Practice Address - Street 1:555 GREENWICH ROAD
Practice Address - Street 2:ECPI UNIVERSITY
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-873-2423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA276400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit