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24 E Cary St Richmond VA 23219-3733 | |
(804) 783-2505 | |
(804) 783-2514 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 24 E Cary St, Richmond, Virginia |
Authorized Official Name and Position | Anita Southers Bennett (CEO) |
Authorized Official Contact | 8042397292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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517 W Grace St Richmond VA 23220-4911 Ph: (804) 783-2505 | 24 E Cary St Richmond VA 23219-3733 Ph: (804) 783-2505 |
NPI Number | 1679325435 |
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Provider Enumeration Date | 04/04/2024 |
Last Update Date | 04/04/2024 |
Identifier | Type | State | Issuer |
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1679325435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |