MEADOWBROOK MEDICAL GROUP INC. NPI 1508185810

NPI Information

NPI: 1508185810
Provider Name: MEADOWBROOK MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
7410 HULL STREET RD
SUITE 3
RICHMOND, VA
ZIP 23235
Phone: (804) 794-2443
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MEADOWBROOK MEDICAL GROUP, INC. is a primary care clinic center in Richmond, VA. MEADOWBROOK MEDICAL GROUP, INC. NPI is 1508185810. The provider is registered as an organization entity type.

The provider's business location address is:

7410 HULL STREET RD
SUITE 3
RICHMOND, VA
ZIP 23235-834
Phone: (804) 794-2443
Fax: (804) 745-3800

The provider's authorized official is Joel Thomas Ashworth .
The authorized official title is President and has the following contact phone number (804) 794-2443.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 1/13/2011.

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	261QP2300X	Clinic/Center	Primary Care	0101029898	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	Other Provider Identifier Issuer
1	VAA103504	MEDICARE PIN	VIRGINIA
2	B09485	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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