Cardinal Care Psychiatric Services | |
3600 W Broad St Unit 536 Richmond VA 23230-4948 | |
(757) 653-4131 | |
Not Available |
Full Name | Cardinal Care Psychiatric Services |
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Speciality | Clinic/Center |
Location | 3600 W Broad St Unit 536, Richmond, Virginia |
Authorized Official Name and Position | Naomi Myrick (NURSE PRACTITIONER) |
Authorized Official Contact | 7576534131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardinal Care Psychiatric Services 3600 W Broad St Unit 536 Richmond VA 23230-4948 Ph: (757) 653-4131 | Cardinal Care Psychiatric Services 3600 W Broad St Unit 536 Richmond VA 23230-4948 Ph: (757) 653-4131 |
NPI Number | 1700486099 |
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Provider Enumeration Date | 10/27/2020 |
Last Update Date | 12/07/2020 |
Certification Date | 12/07/2020 |
Medicare PECOS PAC ID | 9032516844 |
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Medicare Enrollment ID | O20210921003257 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700486099 | NPI | - | NPPES |
1700430733 | Medicaid | VA |
Provider Name | Naomi S Myrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700430733 PECOS PAC ID: 8921330358 Enrollment ID: I20191104002383 |
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