| Norfolk Redevelopment And Housing | |
|
804 Whitaker Ln Norfolk VA 23510-3027 | |
| (757) 393-6363 | |
| (757) 397-0047 |
| Full Name | Norfolk Redevelopment And Housing |
|---|---|
| Speciality | Clinic/Center |
| Location | 804 Whitaker Ln, Norfolk, Virginia |
| Authorized Official Name and Position | Barbara Willis (CEO) |
| Authorized Official Contact | 7573936363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norfolk Redevelopment And Housing 1541 High St Portsmouth VA 23704-3209 Ph: (757) 393-6363 | Norfolk Redevelopment And Housing 804 Whitaker Ln Norfolk VA 23510-3027 Ph: (757) 393-6363 |
| NPI Number | 1235484544 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 02/23/2024 |
| Medicare PECOS PAC ID | 1052301835 |
|---|---|
| Medicare Enrollment ID | O20121107000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235484544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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