Total Healthcare, Pllc | |
2202 Daniels Creek Rd Collinsville VA 24078-1370 | |
(276) 358-0055 | |
Not Available |
Full Name | Total Healthcare, Pllc |
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Speciality | Clinic/Center |
Location | 2202 Daniels Creek Rd, Collinsville, Virginia |
Authorized Official Name and Position | Rhonda K. Clark (DNP/OWNER) |
Authorized Official Contact | 2766475133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Healthcare, Pllc 2202 Daniels Creek Rd Collinsville VA 24078-1370 Ph: (276) 358-0055 | Total Healthcare, Pllc 2202 Daniels Creek Rd Collinsville VA 24078-1370 Ph: (276) 358-0055 |
NPI Number | 1881200764 |
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Provider Enumeration Date | 09/16/2020 |
Last Update Date | 03/31/2021 |
Medicare PECOS PAC ID | 5193144368 |
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Medicare Enrollment ID | O20201007003436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881200764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Rhonda Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154379451 PECOS PAC ID: 6103991385 Enrollment ID: I20080822000327 |
Provider Name | Julia P Hodnett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366710733 PECOS PAC ID: 2062676943 Enrollment ID: I20130920000793 |
Provider Name | Sarah Keaton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497356554 PECOS PAC ID: 3476928284 Enrollment ID: I20230410001432 |