| Health Bridge, Llc | |
|
4198 Cox Rd Ste 102 Glen Allen VA 23060-3328 | |
| (833) 274-3439 | |
| Not Available |
| Full Name | Health Bridge, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4198 Cox Rd Ste 102, Glen Allen, Virginia |
| Authorized Official Name and Position | David Ogens (PRESIDENT) |
| Authorized Official Contact | 6173126812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Bridge, Llc 9100 Arboretum Pkwy Ste 285 North Chesterfield VA 23236-3494 Ph: (804) 347-1229 | Health Bridge, Llc 4198 Cox Rd Ste 102 Glen Allen VA 23060-3328 Ph: (833) 274-3439 |
| NPI Number | 1417579889 |
|---|---|
| Provider Enumeration Date | 05/08/2020 |
| Last Update Date | 10/28/2020 |
| Medicare PECOS PAC ID | 2264849181 |
|---|---|
| Medicare Enrollment ID | O20210322000127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417579889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael Perini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841238045 PECOS PAC ID: 0345227435 Enrollment ID: I20040707000286 |
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