CHARLES CITY MEDICAL GROUP INC NPI 1043267693

NPI Information

NPI: 1043267693
Provider Name: CHARLES CITY MEDICAL GROUP INC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
1606 HULL ST
RICHMOND, VA
ZIP 23224
Phone: (804) 230-4913
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CHARLES CITY MEDICAL GROUP INC is an adult medicine family medicine in Richmond, VA. The provider is definition to come. CHARLES CITY MEDICAL GROUP INC NPI is 1043267693. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1606 HULL ST
RICHMOND, VA
ZIP 23224-806
Phone: (804) 230-4913
Fax: (804) 233-7034

The provider's authorized official is Inja H Chang .
The authorized official title is Staff Physician and has the following contact phone number (804) 230-4913.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 12/31/2007.

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	207QA0505X	Family Medicine	Adult Medicine	0101052550	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	5620911	MEDICAID	VIRGINIA
2	C03122	MEDICARE UPIN	VIRGINIA
3	C03122	MEDICARE PIN
4	C05718	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: 11/14/2023

NPI Synchronization or Removal

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