| Blue Ridge Well Being | |
|
375 Four Leaf Ln Ste 202 Charlottesville VA 22903-6905 | |
| (434) 205-4477 | |
| (434) 205-4705 |
| Full Name | Blue Ridge Well Being |
|---|---|
| Speciality | Clinic/Center |
| Location | 375 Four Leaf Ln Ste 202, Charlottesville, Virginia |
| Authorized Official Name and Position | Rachel Hallmark (OWNER) |
| Authorized Official Contact | 4342054477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Well Being 1664 Wickham Way Charlottesville VA 22901-9232 Ph: () - | Blue Ridge Well Being 375 Four Leaf Ln Ste 202 Charlottesville VA 22903-6905 Ph: (434) 205-4477 |
| NPI Number | 1043728439 |
|---|---|
| Provider Enumeration Date | 01/19/2018 |
| Last Update Date | 05/02/2018 |
| Medicare PECOS PAC ID | 2163782210 |
|---|---|
| Medicare Enrollment ID | O20180209000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043728439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rachel Anne Hallmark |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235457409 PECOS PAC ID: 7618105545 Enrollment ID: I20140912000439 |
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