| Appomattox Area Health And Wellness Center | |
|
321c Poplar Dr Petersburg VA 23805-9306 | |
| (804) 733-5591 | |
| Not Available |
| Full Name | Appomattox Area Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 321c Poplar Dr, Petersburg, Virginia |
| Authorized Official Name and Position | Charles Allbaugh (CFO) |
| Authorized Official Contact | 4345814073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Appomattox Area Health And Wellness Center Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-4073 | Appomattox Area Health And Wellness Center 321c Poplar Dr Petersburg VA 23805-9306 Ph: (804) 733-5591 |
| NPI Number | 1588878474 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 0345158432 |
|---|---|
| Medicare Enrollment ID | O20100625000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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