Integrity Medical Group Llc | |
5700 Fitzhugh Ave C/o Healthsouth Rehabilitation Hospital Richmond VA 23226-1800 | |
(804) 521-5315 | |
(804) 477-1252 |
Full Name | Integrity Medical Group Llc |
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Speciality | Internal Medicine |
Location | 5700 Fitzhugh Ave, Richmond, Virginia |
Authorized Official Name and Position | Chuck L Ball (OWNER) |
Authorized Official Contact | 6152431239 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Integrity Medical Group Llc 3900 Westerre Pkwy Suite 300 Henrico VA 23233-1478 Ph: (804) 521-5315 | Integrity Medical Group Llc 5700 Fitzhugh Ave C/o Healthsouth Rehabilitation Hospital Richmond VA 23226-1800 Ph: (804) 521-5315 |
NPI Number | 1780119354 |
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Provider Enumeration Date | 04/20/2017 |
Last Update Date | 04/20/2017 |
Medicare PECOS PAC ID | 8123397106 |
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Medicare Enrollment ID | O20170706003087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780119354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Chuck L Ball |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1821253535 PECOS PAC ID: 9830366681 Enrollment ID: I20120118000682 |
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