CHASE CITY PRIMARY CARE CENTER LLC NPI 1669411914

NPI Information

NPI: 1669411914
Provider Name: CHASE CITY PRIMARY CARE CENTER, LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
200 E 5TH ST
CHASE CITY, VA
ZIP 23924
Phone: (434) 372-0900
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CHASE CITY PRIMARY CARE CENTER, LLC is a rural health clinic center in Chase City, VA. CHASE CITY PRIMARY CARE CENTER, LLC NPI is 1669411914. The provider is registered as an organization entity type.

The provider's business location address is:

200 E 5TH ST
CHASE CITY, VA
ZIP 23924-456
Phone: (434) 372-0900
Fax: (434) 372-8681

The provider's authorized official is Kenneth Libby .
The authorized official title is Vp Of Finance & Cfo and has the following contact phone number (434) 774-2400.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 10/22/2014.

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	261QR1300X	Clinic/Center	Rural Health		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	498906	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE RURAL HEALTH #
2	010288134	MEDICAID	VIRGINIA
3	498906	MEDICARE PIN	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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