City Of Roanoke | |
120 Kirk Ave Sw Roanoke VA 24011-1602 | |
(540) 853-2045 | |
(540) 853-2911 |
Full Name | City Of Roanoke |
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Speciality | Clinic/center |
Location | 120 Kirk Ave Sw, Roanoke, Virginia |
Authorized Official Name and Position | Brenda Gay Via (MANAGER) |
Authorized Official Contact | 5408532045 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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City Of Roanoke 120 Kirk Ave Sw Roanoke VA 24011-1602 Ph: (540) 853-2045 | City Of Roanoke 120 Kirk Ave Sw Roanoke VA 24011-1602 Ph: (540) 853-2045 |
NPI Number | 1265523211 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265523211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 0024069675 (Virginia) | Primary |
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