| River Valley Healthcare Associates, Pc | |
|
28 Town Center Dr Dublin VA 24084-6069 | |
| (540) 616-8991 | |
| Not Available |
| Full Name | River Valley Healthcare Associates, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Town Center Dr, Dublin, Virginia |
| Authorized Official Name and Position | Ehikioya O Osemobor (MD) |
| Authorized Official Contact | 5406168991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Healthcare Associates, Pc 28 Town Center Dr Dublin VA 24084-6069 Ph: (540) 616-8991 | River Valley Healthcare Associates, Pc 28 Town Center Dr Dublin VA 24084-6069 Ph: (540) 616-8991 |
| NPI Number | 1255708616 |
|---|---|
| Provider Enumeration Date | 09/01/2015 |
| Last Update Date | 09/01/2015 |
| Medicare PECOS PAC ID | 8325348097 |
|---|---|
| Medicare Enrollment ID | O20151202000837 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255708616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Knotresha F Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770719486 PECOS PAC ID: 8820144934 Enrollment ID: I20090915000235 |
| Provider Name | Ehikioya O Osemobor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366677791 PECOS PAC ID: 3779629704 Enrollment ID: I20091006000216 |
| Provider Name | Alexa F Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346876877 PECOS PAC ID: 8729408612 Enrollment ID: I20201014002476 |
| Provider Name | Kristie M Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912629049 PECOS PAC ID: 1052780962 Enrollment ID: I20221216000357 |
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