| Convenient Healthcare Va, Llc | |
|
2208 Executive Dr Ste D Hampton VA 23666-6603 | |
| (757) 964-9111 | |
| (757) 751-0774 |
| Full Name | Convenient Healthcare Va, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2208 Executive Dr Ste D, Hampton, Virginia |
| Authorized Official Name and Position | Charlene Danielle Bell (OWNER) |
| Authorized Official Contact | 7575043211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Convenient Healthcare Va, Llc 2208 Executive Dr Ste D Hampton VA 23666-6603 Ph: (757) 964-9111 | Convenient Healthcare Va, Llc 2208 Executive Dr Ste D Hampton VA 23666-6603 Ph: (757) 964-9111 |
| NPI Number | 1831754324 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 08/11/2020 |
| Medicare PECOS PAC ID | 6901134303 |
|---|---|
| Medicare Enrollment ID | O20190822003733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831754324 | NPI | - | NPPES |
| 1134676117 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charlene D Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134676117 PECOS PAC ID: 5294019956 Enrollment ID: I20170227000095 |
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