| Petersburg Hospital Company Llc | |
|
436 Claremont Ct Colonial Heights VA 23834-1765 | |
| (804) 862-5000 | |
| Not Available |
| Full Name | Petersburg Hospital Company Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 436 Claremont Ct, Colonial Heights, Virginia |
| Authorized Official Name and Position | Paula M Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petersburg Hospital Company Llc Po Box 501128 St. Louis MO 63150-1128 Ph: (804) 526-2121 | Petersburg Hospital Company Llc 436 Claremont Ct Colonial Heights VA 23834-1765 Ph: (804) 862-5000 |
| NPI Number | 1902942071 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 08/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902942071 | NPI | - | NPPES |
| 188948 | Other | VA | ANTHEM BLUE CR BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (Virginia) | Primary |
Yorckay C Ishizawar Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 Temple Ave, Colonial Heights, VA 23834 Phone: 804-526-0107 Fax: 804-526-4466 | |
Partners In Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834 Phone: 804-526-1130 Fax: 804-526-2725 | |
Jencare Neighborhood Medical South Park Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Southpark Blvd, Colonial Heights, VA 23834 Phone: 305-653-1770 | |
Dimmock Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 Charles H Dimmock Pkwy Ste 500, Colonial Heights, VA 23834 Phone: 804-524-0060 Fax: 804-524-0064 | |
Irshad Ahmed Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2801 Boulevard, Suite B, Colonial Heights, VA 23834 Phone: 804-524-0524 Fax: 804-524-0520 | |
David W Barber, Od Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 798 Southpark Blvd, Suite 24, Colonial Heights, VA 23834 Phone: 804-524-0200 Fax: 804-524-0400 | |
Partners In Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Claremont Ct, Suite 123, Colonial Heights, VA 23834 Phone: 804-526-1130 Fax: 804-526-0006 |