| |
1250 E Marshall St Richmond VA 23298-5051 | |
(804) 828-8707 | |
(804) 828-8765 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 1250 E Marshall St, Richmond, Virginia |
Authorized Official Name and Position | Elizabeth Harlan (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 8042211067 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 718997 Philadelphia PA 19171-8997 Ph: () - | 1250 E Marshall St Richmond VA 23298-5051 Ph: (804) 828-8707 |
NPI Number | 1437175734 |
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Provider Enumeration Date | 07/14/2006 |
Last Update Date | 01/23/2025 |
Certification Date | 01/23/2025 |
Medicare PECOS PAC ID | 3476463951 |
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Medicare Enrollment ID | O20030516000039 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437175734 | NPI | - | NPPES |
H1875 | Other | VA | HOSPITAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | H1875 (Virginia) | Primary |
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