| Alliance Family Health Care, Pc | |
|
3333 S Crater Rd Suite 3a Petersburg VA 23805-9276 | |
| (804) 733-3438 | |
| (804) 733-7424 |
| Full Name | Alliance Family Health Care, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3333 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | Alfreda Booker (BILLING MANAGER) |
| Authorized Official Contact | 8043235575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Family Health Care, Pc 3333 S Crater Rd Suite 3a Petersburg VA 23805-9276 Ph: (804) 733-3438 | Alliance Family Health Care, Pc 3333 S Crater Rd Suite 3a Petersburg VA 23805-9276 Ph: (804) 733-3438 |
| NPI Number | 1699781393 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699781393 | NPI | - | NPPES |
| P00244001 | Other | VA | RAILROAD MEDICARE |
| 102116 | Other | ANTHEM ID | |
| 0101038398 | Other | VA | STATE ID |
| 10211 | Other | ANTHEM ID | |
| 8119813 | Other | OPTIMUM CHOICE | |
| 269424 | Other | CIGNA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038398 (Virginia) | Primary |
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