Provider Demographics
NPI:1902095052
Name:ANNE HEDGES HORST MD PLC
Entity Type:Organization
Organization Name:ANNE HEDGES HORST MD PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:HEDGES
Authorized Official - Last Name:HORST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-996-0550
Mailing Address - Street 1:513 FOREST AVE
Mailing Address - Street 2:SUIRE 209
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6850
Mailing Address - Country:US
Mailing Address - Phone:804-282-3882
Mailing Address - Fax:804-745-2418
Practice Address - Street 1:513 FOREST AVE
Practice Address - Street 2:SUIRE 209
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-6850
Practice Address - Country:US
Practice Address - Phone:804-282-3882
Practice Address - Fax:804-745-2418
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101057104261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)