| Ivor Dental Center | |
|
8579 Ivor Road Ivor VA 23866 | |
| (757) 859-9070 | |
| (757) 859-9073 |
| Full Name | Ivor Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 8579 Ivor Road, Ivor, Virginia |
| Authorized Official Name and Position | Cheryl Ebersole (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7578596161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivor Dental Center Po Box 210 Ivor VA 23866-0210 Ph: (757) 859-9070 | Ivor Dental Center 8579 Ivor Road Ivor VA 23866 Ph: (757) 859-9070 |
| NPI Number | 1104057793 |
|---|---|
| Provider Enumeration Date | 07/31/2009 |
| Last Update Date | 07/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104057793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ivor Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8575 Ivor Road, Ivor, VA 23866 Phone: 757-859-6161 Fax: 757-859-6452 | |
Horizon Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8575 Ivor Rd, Ivor, VA 23866 Phone: 757-859-6161 Fax: 757-859-6452 |