| Ultra Health Llc | |
|
1039 Mayberry Crossing Dr Ste A&b Moneta VA 24121-6413 | |
| (540) 546-3744 | |
| Not Available |
| Full Name | Ultra Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1039 Mayberry Crossing Dr Ste A&b, Moneta, Virginia |
| Authorized Official Name and Position | Jeffery H Taylor (OWNER) |
| Authorized Official Contact | 2769710783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Health Llc Po Box 489 Pounding Mill VA 24637-0489 Ph: (276) 385-1183 | Ultra Health Llc 1039 Mayberry Crossing Dr Ste A&b Moneta VA 24121-6413 Ph: (540) 546-3744 |
| NPI Number | 1457891145 |
|---|---|
| Provider Enumeration Date | 03/01/2017 |
| Last Update Date | 02/16/2024 |
| Medicare PECOS PAC ID | 8426325432 |
|---|---|
| Medicare Enrollment ID | O20240608000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457891145 | NPI | - | NPPES |
| 1457891145 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Sabrina Berger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942461892 PECOS PAC ID: 7911173828 Enrollment ID: I20111227000261 |
| Provider Name | Debra Peters Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741395 PECOS PAC ID: 4385946177 Enrollment ID: I20160111002724 |
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