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FRIENDSHIP PHYSICIAN CLINIC INC NPI 1366041170


NPI Information

NPI: 1366041170
Provider Name: FRIENDSHIP PHYSICIAN CLINIC INC

Doing Business As: GERIATRIC CARE ASSOCIATES OF ROANOKE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D2194216

Address:
391 HERSHBERGER RD
ROANOKE, VA
ZIP 24012
Phone: (540) 384-5977
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FRIENDSHIP PHYSICIAN CLINIC INC is a primary care clinic center in Roanoke, VA. FRIENDSHIP PHYSICIAN CLINIC INC NPI is 1366041170. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Geriatric Care Associates Of Roanoke.

The provider's business location address is:

391 HERSHBERGER RD
ROANOKE, VA
ZIP 24012-983
Phone: (540) 384-5977

The provider's authorized official is Joseph M Hoff .
The authorized official title is Pesident/ceo and has the following contact phone number (540) 265-2087.

The CLIA number assigned to this NPI record is 49D2194216 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 1/26/2023.


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
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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.