| Safe Haven | |
|
2864 Hull St Richmond VA 23224-3680 | |
| (804) 231-7137 | |
| (804) 783-2514 |
| Full Name | Safe Haven |
|---|---|
| Speciality | Clinic/Center |
| Location | 2864 Hull St, Richmond, Virginia |
| Authorized Official Name and Position | Beth Merchent (CEO) |
| Authorized Official Contact | 8047832505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven 517 W Grace St Richmond VA 23220-4911 Ph: (804) 783-2505 | Safe Haven 2864 Hull St Richmond VA 23224-3680 Ph: (804) 231-7137 |
| NPI Number | 1861909731 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 9931010857 |
|---|---|
| Medicare Enrollment ID | O20180314001642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861909731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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