Bhg Glen Allen Treatment Center | |
13100 Mountain Rd Glen Allen VA 23059-1734 | |
(214) 365-6100 | |
(214) 365-6150 |
Full Name | Bhg Glen Allen Treatment Center |
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Speciality | Clinic/Center |
Location | 13100 Mountain Rd, Glen Allen, Virginia |
Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
Authorized Official Contact | 2143656126 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bhg Glen Allen Treatment Center 5001 Spring Valley Road Suite 600 East Dallas TX 75244 Ph: (214) 365-6100 | Bhg Glen Allen Treatment Center 13100 Mountain Rd Glen Allen VA 23059-1734 Ph: (214) 365-6100 |
NPI Number | 1932696770 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 02/22/2019 |
Medicare PECOS PAC ID | 3779867049 |
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Medicare Enrollment ID | O20200116000206 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932696770 | NPI | - | NPPES |
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