| Sage Health | |
|
721 West Main Street Radford VA 24141 | |
| (540) 838-8300 | |
| (540) 838-8030 |
| Full Name | Sage Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 721 West Main Street, Radford, Virginia |
| Authorized Official Name and Position | Rania Rosborough (PRESIDENT) |
| Authorized Official Contact | 5408388300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sage Health Po Box 8310 Roanoke VA 24014-0310 Ph: (540) 345-3556 | Sage Health 721 West Main Street Radford VA 24141 Ph: (540) 838-8300 |
| NPI Number | 1649026485 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 6800338922 |
|---|---|
| Medicare Enrollment ID | O20240604004397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649026485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Rania B Rosborough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326095100 PECOS PAC ID: 6204855612 Enrollment ID: I20150226000658 |
| Provider Name | Kristina R. Samson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477960391 PECOS PAC ID: 6204058233 Enrollment ID: I20191211000083 |
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