Provider Demographics
NPI:1447054242
Name:ANNA MARIE
Entity type:Organization
Organization Name:ANNA MARIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:PHOEBE
Authorized Official - Middle Name:OGUDA
Authorized Official - Last Name:DACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-396-8566
Mailing Address - Street 1:9619 QUIOCCASIN RD
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4524
Mailing Address - Country:US
Mailing Address - Phone:804-396-8566
Mailing Address - Fax:804-396-8566
Practice Address - Street 1:9619 QUIOCCASIN RD
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23238-4524
Practice Address - Country:US
Practice Address - Phone:804-396-8566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)