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COURTHOUSE FAMILY PRACTICE PC NPI 1124255914


NPI Information

NPI: 1124255914
Provider Name: COURTHOUSE FAMILY PRACTICE PC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1108 COURTHOUSE RD
SUITE D
RICHMOND, VA
ZIP 23236
Phone: (804) 423-5050
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COURTHOUSE FAMILY PRACTICE PC is a point of service in Richmond, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. COURTHOUSE FAMILY PRACTICE PC NPI is 1124255914. The provider is registered as an organization entity type.

The provider's business location address is:

1108 COURTHOUSE RD
SUITE D
RICHMOND, VA
ZIP 23236-197
Phone: (804) 423-5050
Fax: (804) 423-5048

The provider's authorized official is Gail L Taylor .
The authorized official title is Owner/physician and has the following contact phone number (804) 423-5050.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 10/26/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service0101045480VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1113086OTHERVIRGINIASOUTHERN HEALTH
24322278OTHERVIRGINIAAETNA HEALTHCARE
3005602131MEDICAIDVIRGINIA
4256377OTHERVIRGINIAANTHEM
50800078652MEDICARE NSCVIRGINIA
6E52547MEDICARE UPINVIRGINIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.