| Fccr Radford | |
|
4906 Radford Ave Richmond VA 23230-3512 | |
| (804) 354-1996 | |
| Not Available |
| Full Name | Fccr Radford |
|---|---|
| Speciality | Clinic/Center |
| Location | 4906 Radford Ave, Richmond, Virginia |
| Authorized Official Name and Position | Robyn Tanis (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Contact | 8565338762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fccr Radford 1317 Route 73 Mount Laurel NJ 08054-2202 Ph: (856) 439-6111 | Fccr Radford 4906 Radford Ave Richmond VA 23230-3512 Ph: (804) 354-1996 |
| NPI Number | 1750872966 |
|---|---|
| Provider Enumeration Date | 05/23/2018 |
| Last Update Date | 11/21/2023 |
| Certification Date | 11/21/2023 |
| Medicare PECOS PAC ID | 1951737568 |
|---|---|
| Medicare Enrollment ID | O20200130000451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750872966 | NPI | - | NPPES |
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