Imani Works Corporation | |
111 Short St Orange VA 22960-1651 | |
(540) 672-9000 | |
(540) 672-2710 |
Full Name | Imani Works Corporation |
---|---|
Speciality | Internal Medicine |
Location | 111 Short St, Orange, Virginia |
Authorized Official Name and Position | Verdena Ross Jennings (PHYSICIAN/EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5406729000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Imani Works Corporation 111 Short St Orange VA 22960-1651 Ph: (540) 672-9000 | Imani Works Corporation 111 Short St Orange VA 22960-1651 Ph: (540) 672-9000 |
NPI Number | 1942419700 |
---|---|
Provider Enumeration Date | 05/21/2007 |
Last Update Date | 12/04/2019 |
Medicare PECOS PAC ID | 0749365633 |
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Medicare Enrollment ID | O20170525000941 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942419700 | NPI | - | NPPES |
2113126 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Verdena Jennings |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821012816 PECOS PAC ID: 9032126651 Enrollment ID: I20170525001342 |
Imani Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Short St, Orange, VA 22960 Phone: 540-672-9000 Fax: 540-672-2710 | |
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