Rcg State Services | |
3530 Post Office Rd Unit 4563 Midlothian VA 23112-0923 | |
(804) 897-1797 | |
(888) 857-8088 |
Full Name | Rcg State Services |
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Speciality | Community/Behavioral Health |
Location | 3530 Post Office Rd Unit 4563, Midlothian, Virginia |
Authorized Official Name and Position | Sherman Alexander Adkins (DIRECTOR OF OPERATIONS & FINANCE) |
Authorized Official Contact | 8044919543 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rcg State Services 1905 Huguenot Rd Suite 305 North Chesterfield VA 23235-4312 Ph: (804) 897-1797 | Rcg State Services 3530 Post Office Rd Unit 4563 Midlothian VA 23112-0923 Ph: (804) 897-1797 |
NPI Number | 1013306117 |
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Provider Enumeration Date | 01/13/2015 |
Last Update Date | 01/13/2015 |
Medicare PECOS PAC ID | 1355766262 |
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Medicare Enrollment ID | O20200807002971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013306117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
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