| Regional Health Resources, Inc | |
|
373 Cecil D Quillen Dr Suite 101 Duffield VA 24244-4085 | |
| (276) 431-1638 | |
| (276) 431-1639 |
| Full Name | Regional Health Resources, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 373 Cecil D Quillen Dr, Duffield, Virginia |
| Authorized Official Name and Position | Susan Mckee (CEO) |
| Authorized Official Contact | 4237652456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Health Resources, Inc 373 Cecil D Quillen Dr Suite 101 Duffield VA 24244-4085 Ph: (276) 431-1638 | Regional Health Resources, Inc 373 Cecil D Quillen Dr Suite 101 Duffield VA 24244-4085 Ph: (276) 431-1638 |
| NPI Number | 1487681771 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 10/04/2012 |
| Medicare PECOS PAC ID | 3173412707 |
|---|---|
| Medicare Enrollment ID | O20040312000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487681771 | NPI | - | NPPES |
| 010081742 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Gail R Feagins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437379922 PECOS PAC ID: 6507945490 Enrollment ID: I20080604000552 |
| Provider Name | Jackie Lynn Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407290596 PECOS PAC ID: 3072756956 Enrollment ID: I20130823001237 |
| Provider Name | Johnny Ray Shupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659495356 PECOS PAC ID: 8628960473 Enrollment ID: I20140204000389 |
Trillium Medical Group Of Virginia, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Fugate St # B, Duffield, VA 24244 Phone: 800-750-8103 Fax: 866-788-0863 | |
Regional Health Resources Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244 Phone: 276-431-1638 Fax: 276-431-1639 |