Hamhds Woodman Center | |
10299 Woodman Rd Glen Allen VA 23060-4419 | |
(804) 727-8134 | |
(804) 783-2514 |
Full Name | Hamhds Woodman Center |
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Speciality | Clinic/Center |
Location | 10299 Woodman Rd, Glen Allen, Virginia |
Authorized Official Name and Position | Beth Merchent (CEO) |
Authorized Official Contact | 8047832505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hamhds Woodman Center 517 W Grace St Richmond VA 23220-4911 Ph: (804) 783-2505 | Hamhds Woodman Center 10299 Woodman Rd Glen Allen VA 23060-4419 Ph: (804) 727-8134 |
NPI Number | 1508399031 |
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Provider Enumeration Date | 04/11/2017 |
Last Update Date | 01/28/2019 |
Medicare PECOS PAC ID | 9931010857 |
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Medicare Enrollment ID | O20170525002736 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508399031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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