| Mca Network | |
|
1503 Santa Rosa Rd Ste 211 Richmond VA 23229 | |
| (804) 282-9100 | |
| (804) 282-3266 |
| Full Name | Mca Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 1503 Santa Rosa Rd, Richmond, Virginia |
| Authorized Official Name and Position | Daniel R Stembridge (ADMINISTRATOR) |
| Authorized Official Contact | 8042829100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mca Network 1503 Santa Rosa Rd Ste 211 Richmond VA 23229 Ph: (804) 282-9100 | Mca Network 1503 Santa Rosa Rd Ste 211 Richmond VA 23229 Ph: (804) 282-9100 |
| NPI Number | 1689736191 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 1456311299 |
|---|---|
| Medicare Enrollment ID | O20041015000128 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689736191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Virginia) | Primary |
| Provider Name | Harry L Almond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508974296 PECOS PAC ID: 1355534355 Enrollment ID: I20101022000663 |
| Provider Name | Dennis L Hawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841394152 PECOS PAC ID: 7618937459 Enrollment ID: I20101022000700 |
| Provider Name | Erin Otoole-lyon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043469463 PECOS PAC ID: 0840457057 Enrollment ID: I20120131000204 |
| Provider Name | Carol Zogran |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154423143 PECOS PAC ID: 3779705512 Enrollment ID: I20141112000975 |
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