| Cjw Medical Center | |
|
7101 Jahnke Rd Richmond VA 23225-4017 | |
| (804) 320-3911 | |
| (804) 323-8049 |
| Full Name | Cjw Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 7101 Jahnke Rd, Richmond, Virginia |
| Authorized Official Name and Position | Dustin Fosness (CFO) |
| Authorized Official Contact | 8044830813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cjw Medical Center 7101 Jahnke Rd Richmond VA 23225-4017 Ph: (804) 320-3911 | Cjw Medical Center 7101 Jahnke Rd Richmond VA 23225-4017 Ph: (804) 320-3911 |
| NPI Number | 1275573123 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 06/23/2022 |
| Certification Date | 06/23/2022 |
| Medicare PECOS PAC ID | 9032105010 |
|---|---|
| Medicare Enrollment ID | O20070817000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275573123 | NPI | - | NPPES |
| 442047 | Other | VA | WELLPOINT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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