PATRICK COUNTY FAMILY PRACTICEPC NPI 1053322495

NPI Information

NPI: 1053322495
Provider Name: PATRICK COUNTY FAMILY PRACTICE,PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
18877 JEB STUART HIGHWAY
STUART, VA
ZIP 24171
Phone: (276) 694-4466
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PATRICK COUNTY FAMILY PRACTICE,PC is a family medicine in Stuart, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PATRICK COUNTY FAMILY PRACTICE,PC NPI is 1053322495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18877 JEB STUART HIGHWAY
STUART, VA
ZIP 24171-019
Phone: (276) 694-4466
Fax: (276) 694-2909

The provider's authorized official is Richard Claude Cole .
The authorized official title is President and has the following contact phone number (276) 694-4466.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 4/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		0101 237621	VIRGINIA	No
2	207Q00000X	Family Medicine		0101 036915	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7902459	MEDICAID	NORTH CAROLINA
2	C03601	MEDICARE PIN	VIRGINIA
3	0232E	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD
4	097029	OTHER	VIRGINIA	ANTHEM BCBS GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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