| Children's Hospital | |
|
321 B Poplar Drive Suite 4 Children's Hospital Therapy Center Petersburg VA 23805 | |
| (804) 321-7474 | |
| (804) 228-5210 |
| Full Name | Children's Hospital |
|---|---|
| Speciality | Clinic/center |
| Location | 321 B Poplar Drive, Petersburg, Virginia |
| Authorized Official Name and Position | Leslie G Wyatt (PRESIDENT & CEO) |
| Authorized Official Contact | 8043217474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital 2924 Brook Rd Children's Hospital Therapy Dept Richmond VA 23220-1215 Ph: (804) 321-7474 | Children's Hospital 321 B Poplar Drive Suite 4 Children's Hospital Therapy Center Petersburg VA 23805 Ph: (804) 321-7474 |
| NPI Number | 1386809044 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386809044 | NPI | - | NPPES |
| 004909976 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H1842 (Virginia) | Primary |
Physician Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 S Sycamore St, Petersburg, VA 23803 Phone: 804-733-8821 Fax: 804-861-4365 | |
Vanessa O. Johnson,m.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Medical Park Boulevard, Suite B, Petersburg, VA 23805 Phone: 804-732-7100 Fax: 804-732-7101 | |
Back Pain Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Petersburg, VA 23805 Phone: 804-733-6870 Fax: 804-226-9496 | |
Bon Secours Freedom Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Washington St, Suite B, Petersburg, VA 23803 Phone: 804-431-3400 Fax: 804-733-3858 | |
Cvhs Downtown Petersburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 S Union St, Petersburg, VA 23803 Phone: 804-957-9601 Fax: 804-957-5850 | |
Alliance Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Liberty St, Petersburg, VA 23803 Phone: 804-862-2878 Fax: 804-862-2879 | |
Emily Ashley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3335 S Crater Rd, Petersburg, VA 23805 Phone: 804-765-5445 |