NPI 1871311159

Clubmdnow

Organisation Exclusive Provider Organization Virginia Beach, VA

Practice location

Address: 941 Bobolink Dr, Virginia Beach, VA 23451-4945
Phone: (757) 404-0296
Mailing address: 300 32nd St STE 420, Virginia Beach, VA 23451-2968

Authorised official

Name: Julie Rekant
Title: Manager
Phone: (757) 404-0073

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Virginia →

Registry record

NPI: 1871311159
Entity type: Organization
NPI issued: 26 Sep 2024
Record last updated: 26 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.