KENBRIDGE FAMILY MEDICINE INC NPI 1760421010

NPI Information

NPI: 1760421010
Provider Name: KENBRIDGE FAMILY MEDICINE INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
306 E 6TH AVE
KENBRIDGE, VA
ZIP 23944
Phone: (434) 676-8021
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KENBRIDGE FAMILY MEDICINE INC is a rural health clinic center in Kenbridge, VA. KENBRIDGE FAMILY MEDICINE INC NPI is 1760421010. The provider is registered as an organization entity type.

The provider's business location address is:

306 E 6TH AVE
KENBRIDGE, VA
ZIP 23944-050
Phone: (434) 676-8021
Fax: (434) 676-2390

The provider's authorized official is Graham H Powers Iii .
The authorized official title is President and has the following contact phone number (434) 676-8021.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 3/25/2013.

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
1	493869	MEDICARE OSCAR/CERTIFICATION	VIRGINIA
2	C05459	MEDICARE PIN	VIRGINIA
3	007610874	MEDICAID	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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