| Garden Of Eden Health Center Pc | |
|
9549 Amberdale Dr The Village Of Amberleigh North Chesterfield VA 23236-1256 | |
| (804) 362-7372 | |
| Not Available |
| Full Name | Garden Of Eden Health Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 9549 Amberdale Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Asena L Madison (MD) |
| Authorized Official Contact | 8043818769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden Of Eden Health Center Pc 9549 Amberdale Dr North Chesterfield VA 23236-1256 Ph: (804) 362-7372 | Garden Of Eden Health Center Pc 9549 Amberdale Dr The Village Of Amberleigh North Chesterfield VA 23236-1256 Ph: (804) 362-7372 |
| NPI Number | 1548732936 |
|---|---|
| Provider Enumeration Date | 12/22/2018 |
| Last Update Date | 10/10/2021 |
| Medicare PECOS PAC ID | 6406196278 |
|---|---|
| Medicare Enrollment ID | O20190314002089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548732936 | NPI | - | NPPES |
| 1972654929 | Medicaid | VA | |
| 18011117122 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Scott T Armistead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972654929 PECOS PAC ID: 8820194079 Enrollment ID: I20070503000582 |
| Provider Name | Asena L Madison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801117122 PECOS PAC ID: 5890942536 Enrollment ID: I20140730001254 |
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