| Emporia Healthcare Providers | |
|
6 Doctors Dr Emporia VA 23847-1240 | |
| (434) 637-6500 | |
| Not Available |
| Full Name | Emporia Healthcare Providers |
|---|---|
| Speciality | Family Medicine |
| Location | 6 Doctors Dr, Emporia, Virginia |
| Authorized Official Name and Position | Michael Anderson (PRESIDENT) |
| Authorized Official Contact | 4346376500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emporia Healthcare Providers 6 Doctors Dr Emporia VA 23847-1240 Ph: (434) 637-6500 | Emporia Healthcare Providers 6 Doctors Dr Emporia VA 23847-1240 Ph: (434) 637-6500 |
| NPI Number | 1104691401 |
|---|---|
| Provider Enumeration Date | 11/16/2023 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 4486191574 |
|---|---|
| Medicare Enrollment ID | O20240807001690 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104691401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert H Squire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750310082 PECOS PAC ID: 5597756338 Enrollment ID: I20040520001097 |
| Provider Name | Michael S Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538102819 PECOS PAC ID: 9133220932 Enrollment ID: I20100902000245 |
| Provider Name | Kelly Vargo Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033754049 PECOS PAC ID: 6507292943 Enrollment ID: I20200204000942 |
Flycatcher Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 N Main St, Emporia, VA 23847 Phone: 434-348-4400 | |
Prince Squire Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 219 Weaver Avenue, Emporia, VA 23847 Phone: 434-634-4148 Fax: 434-634-6963 | |
Emporia Medical Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Doctors Drive, Emporia, VA 23847 Phone: 434-634-6101 Fax: 434-634-7117 | |