# SPOTSYLVANIA EMERGI-CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SPOTSYLVANIA EMERGI-CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174643878
- **Authorized official:** DR. DESIDERIO LANDAS HEBRON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (540) 786-7637

## Contact information

- **Practice address:** 992 BRAGG RD, FREDERICKSBURG, VA 22407-6979
- **Practice address phone:** (540) 786-7637
- **Practice address fax:** (540) 786-0810
- **Mailing address:** 992 BRAGG RD, FREDERICKSBURG, VA 22407-6979
- **Mailing address phone:** (540) 786-7637
- **Mailing address fax:** (540) 786-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0101022289 | VA | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 060133 | ANTHEM BLUE CROSS GROUP | VA |
| 01 | — | 060154 | ANTHEM BLUE CROSS PPO | VA |