| Elgreat Healthcare Center | |
|
2301 Hilliard Rd Ste 4 Henrico VA 23228-4525 | |
| (804) 528-9752 | |
| (804) 409-8005 |
| Full Name | Elgreat Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2301 Hilliard Rd Ste 4, Henrico, Virginia |
| Authorized Official Name and Position | Ifeoma Nkemdilim Jennifer Elebo (ADMINISTRATOR) |
| Authorized Official Contact | 8045289752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elgreat Healthcare Center 2301 Hilliard Rd Ste 4 Henrico VA 23228-4525 Ph: (804) 528-9752 | Elgreat Healthcare Center 2301 Hilliard Rd Ste 4 Henrico VA 23228-4525 Ph: (804) 528-9752 |
| NPI Number | 1922753193 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 0042618845 |
|---|---|
| Medicare Enrollment ID | O20220520001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922753193 | NPI | - | NPPES |
| Provider Name | Ifeoma N Elebo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013492958 PECOS PAC ID: 8820427107 Enrollment ID: I20200408000680 |
| Provider Name | Victor Nwagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215637863 PECOS PAC ID: 2163897422 Enrollment ID: I20230510000406 |
| Provider Name | Andrea L. Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033835467 PECOS PAC ID: 1153783063 Enrollment ID: I20230809002105 |
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