| Emc Health, Llc | |
|
849 S Sycamore St Ste A Petersburg VA 23803-5801 | |
| (804) 715-1031 | |
| (804) 203-4722 |
| Full Name | Emc Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 849 S Sycamore St Ste A, Petersburg, Virginia |
| Authorized Official Name and Position | Evelyn Maria Cason (OWNER) |
| Authorized Official Contact | 8047151031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emc Health, Llc 849 S Sycamore St Ste A Petersburg VA 23803-5801 Ph: (804) 715-1031 | Emc Health, Llc 849 S Sycamore St Ste A Petersburg VA 23803-5801 Ph: (804) 715-1031 |
| NPI Number | 1982321006 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 07/31/2024 |
| Medicare PECOS PAC ID | 1052780434 |
|---|---|
| Medicare Enrollment ID | O20221206002938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982321006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Evelyn Maria Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235458233 PECOS PAC ID: 3274729181 Enrollment ID: I20221206002984 |
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