CAPE CHARLES MEDICAL CENTER NPI 1124112198

NPI Information

NPI: 1124112198
Provider Name: CAPE CHARLES MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
216 MASON AVE
CAPE CHARLES, VA
ZIP 23310
Phone: (757) 331-1422
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CAPE CHARLES MEDICAL CENTER is a family medicine in Cape Charles, 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. CAPE CHARLES MEDICAL CENTER NPI is 1124112198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

216 MASON AVE
CAPE CHARLES, VA
ZIP 23310-200
Phone: (757) 331-1422
Fax: (757) 331-1624

The provider's authorized official is Mark Gregory Clarke .
The authorized official title is President and has the following contact phone number (757) 331-1422.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 12/1/2009.

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	207Q00000X	Family Medicine		0101038467	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	B09250	MEDICARE UPIN	VIRGINIA
2	005642434	MEDICAID	VIRGINIA
3	C08218	OTHER	VIRGINIA	MEDICARE GROUP PTAN NUMBER
4	005642451	MEDICAID	VIRGINIA
5	454260	OTHER	VIRGINIA	ANTHEM GROUP #
6	CJ8918	OTHER	VIRGINIA	GROUP#
7	B05930	MEDICARE UPIN	VIRGINIA

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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