| Senior Health Center Pc | |
|
5855 Bremo Road Suite 207 Richmond VA 23226 | |
| (804) 237-1665 | |
| (804) 237-1668 |
| Full Name | Senior Health Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5855 Bremo Road, Richmond, Virginia |
| Authorized Official Name and Position | Stanley N Furman (PRESIDENT OWNER) |
| Authorized Official Contact | 8042371665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Health Center Pc 5855 Bremo Road Suite 207 Richmond VA 23226 Ph: (804) 237-1665 | Senior Health Center Pc 5855 Bremo Road Suite 207 Richmond VA 23226 Ph: (804) 237-1665 |
| NPI Number | 1811926686 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 08/28/2007 |
| Medicare PECOS PAC ID | 0547360588 |
|---|---|
| Medicare Enrollment ID | O20070705000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811926686 | NPI | - | NPPES |
| 5882915 | Medicaid | VA | |
| 105837 | Other | VA | ANTHEM BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Stanley N Furman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467481234 PECOS PAC ID: 4981704921 Enrollment ID: I20110428000414 |
| Provider Name | Fei Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669837118 PECOS PAC ID: 1850694423 Enrollment ID: I20160115000024 |
| Provider Name | Mishii Strother Hamlor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669938825 PECOS PAC ID: 1850632985 Enrollment ID: I20190417002808 |
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