Chesapeake Community Services Board | |
224 Great Bridge Blvd Chesapeake VA 23320-3904 | |
(757) 547-9334 | |
(757) 819-6189 |
Full Name | Chesapeake Community Services Board |
---|---|
Speciality | Community/behavioral Health |
Location | 224 Great Bridge Blvd, Chesapeake, Virginia |
Authorized Official Name and Position | Ingrid Schmedtje (STAFF PSYCHIATRIST) |
Authorized Official Contact | 7575479334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chesapeake Community Services Board 224 Great Bridge Blvd Chesapeake VA 23320-3904 Ph: (757) 547-9334 | Chesapeake Community Services Board 224 Great Bridge Blvd Chesapeake VA 23320-3904 Ph: (757) 547-9334 |
NPI Number | 1316083165 |
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Provider Enumeration Date | 01/29/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316083165 | NPI | - | NPPES |
1380588 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0102037220 (Virginia) | Primary |
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