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GRAYSON HIGHLANDS FAMILY MEDICINE & OBSTETRICS NPI 1922182112


NPI Information

NPI: 1922182112
Provider Name: GRAYSON HIGHLANDS FAMILY MEDICINE & OBSTETRICS
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
127 EAST MAIN STREET
INDEPENDENCE, VA
ZIP 24348
Phone: (276) 773-2865
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GRAYSON HIGHLANDS FAMILY MEDICINE & OBSTETRICS is a family medicine in Independence, 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. GRAYSON HIGHLANDS FAMILY MEDICINE & OBSTETRICS NPI is 1922182112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

127 EAST MAIN STREET
INDEPENDENCE, VA
ZIP 24348
Phone: (276) 773-2865
Fax: (276) 773-0843

The provider's authorized official is Angela R Lineberry .
The authorized official title is Office Manager and has the following contact phone number (276) 773-2865.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/7/2014.


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
1207Q00000XFamily Medicine0101057835VIRGINIAYes

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
1080007351MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
2005610681MEDICAIDVIRGINIA
3C06367MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAGROUP #
4500000612MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
5G82117MEDICARE UPIN
6P07871MEDICARE UPIN

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

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