Bon Secours Heathsville Family Practice | |
8152 Northumberland Hwy Heathsville VA 22473-3309 | |
(804) 580-7200 | |
(804) 580-7063 |
Full Name | Bon Secours Heathsville Family Practice |
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Speciality | Clinic/Center |
Location | 8152 Northumberland Hwy, Heathsville, Virginia |
Authorized Official Name and Position | Kimberly Ralston (SYSTEM DIRECTOR) |
Authorized Official Contact | 4199965119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bon Secours Heathsville Family Practice Po Box 639991 Cincinnati OH 45263-9991 Ph: (804) 627-5573 | Bon Secours Heathsville Family Practice 8152 Northumberland Hwy Heathsville VA 22473-3309 Ph: (804) 580-7200 |
NPI Number | 1275023707 |
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Provider Enumeration Date | 05/10/2018 |
Last Update Date | 09/22/2020 |
Medicare PECOS PAC ID | 8921060427 |
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Medicare Enrollment ID | O20180725003076 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275023707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Chesapeake Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8152 Northumberland Hwy, Heathsville, VA 22473 Phone: 804-580-7200 Fax: 804-580-7063 | |
Bon Secours Heathsville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8152 Northumberland Hwy, Heathsville, VA 22473 Phone: 804-580-7200 Fax: 804-580-7063 |