| Zion Healing Center Jacksonville | |
|
6 Blackstone Valley Pl Ste 301 Lincoln RI 02865-1112 | |
| (508) 769-2707 | |
| (401) 305-3028 |
| Full Name | Zion Healing Center Jacksonville |
|---|---|
| Speciality | General Practice |
| Location | 6 Blackstone Valley Pl Ste 301, Lincoln, Rhode Island |
| Authorized Official Name and Position | Boris O. Bergus (CEO) |
| Authorized Official Contact | 5087692707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Healing Center Jacksonville 6 Blackstone Valley Pl Ste 301 Lincoln RI 02865-1112 Ph: (508) 769-2707 | Zion Healing Center Jacksonville 6 Blackstone Valley Pl Ste 301 Lincoln RI 02865-1112 Ph: (508) 769-2707 |
| NPI Number | 1457302002 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Medicare PECOS PAC ID | 6002828589 |
|---|---|
| Medicare Enrollment ID | O20060627000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457302002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Khaled A Yehia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1326016890 PECOS PAC ID: 0042289324 Enrollment ID: I20041004000012 |
| Provider Name | Agustin M Florian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1841385317 PECOS PAC ID: 2264466705 Enrollment ID: I20050923000126 |
The Devereux Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Blackstone Valley Pl, Suite 402, Lincoln, RI 02865 Phone: 401-305-7770 | |
Tannerhill, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Blackstone Valley Pl, Suite 402, Lincoln, RI 02865 Phone: 401-305-7770 | |
Success On The Spectrum Lincoln Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Blackstone Valley Pl Bldg 7, Lincoln, RI 02865 Phone: 504-234-7369 | |
Northeast Child And Adolescent Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Old River Rd, Suite 205, Lincoln, RI 02865 Phone: 401-527-8089 Fax: 401-333-3370 | |
Veterans Community Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 George Washington Hwy, Building B Lower Level, Lincoln, RI 02865 Phone: 401-334-4376 Fax: 401-334-4378 | |
Christine Richards Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 310 Twin River Rd, Lincoln, RI 02865 Phone: 508-454-7770 Fax: 401-354-4445 | |
Lincoln Psychiatric Services, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 652 George Washington Hwy, Suite 400, Lincoln, RI 02865 Phone: 401-334-1830 Fax: 401-334-1833 |