MEDICARE: HEALTHSTAT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1568318640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHSTAT INC

Provider Business Mailing Address
First Line	:	8239 MEADOWBRIDGE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8239 MEADOWBRIDGE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2318
Country	:	US
Telephone Number	:	866-434-3255
Fax Number	:

Authorized Official
Title or Position	:	CENTRAL SUPPORT
Name	:	DELANIE GERKEN
Credential	:
Telephone Number	:	866-434-3255

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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