| |
8830 Virginia Street Amelia VA 23002 | |
(434) 696-2165 | |
(434) 696-1557 |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 8830 Virginia Street, Amelia, Virginia |
Authorized Official Name and Position | Jill W. Seamans (CFO) |
Authorized Official Contact | 4346962165 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 70 Victoria VA 23974-0070 Ph: (434) 696-2165 | 8830 Virginia Street Amelia VA 23002 Ph: (434) 696-2165 |
NPI Number | 1811256787 |
---|---|
Provider Enumeration Date | 05/11/2012 |
Last Update Date | 12/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811256787 | NPI | - | NPPES |