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727 N Main St Emporia VA 23847-1274 | |
| (434) 348-4400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 727 N Main St, Emporia, Virginia |
| Authorized Official Name and Position | Kimberly M Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 639858 Cincinnati OH 45263-9858 Ph: () - | 727 N Main St Emporia VA 23847-1274 Ph: (434) 348-4400 |
| NPI Number | 1467097535 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 9537593256 |
|---|---|
| Medicare Enrollment ID | O20200103002278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467097535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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