| Milestone Health Solutions | |
|
2205 Perl Rd Richmond VA 23230-2007 | |
| (804) 447-2139 | |
| Not Available |
| Full Name | Milestone Health Solutions |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2205 Perl Rd, Richmond, Virginia |
| Authorized Official Name and Position | Kim W Wills (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8044472139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milestone Health Solutions 2205 Perl Rd Richmond VA 23230-2007 Ph: (804) 447-2139 | Milestone Health Solutions 2205 Perl Rd Richmond VA 23230-2007 Ph: (804) 447-2139 |
| NPI Number | 1639322803 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 8921282203 |
|---|---|
| Medicare Enrollment ID | O20110719000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639322803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Elmira J King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992953491 PECOS PAC ID: 5698737757 Enrollment ID: I20041101000448 |
| Provider Name | Stephen D Grasberger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336230143 PECOS PAC ID: 4284750654 Enrollment ID: I20100923000674 |
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