KEMPSVILLE PRIMARY MEDICAL CARE CENTER INC NPI 1013187947

NPI Information

NPI: 1013187947
Provider Name: KEMPSVILLE PRIMARY MEDICAL CARE CENTER INC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 49D0229162
Address: 5136 PRINCESS ANNE RD
VIRGINIA BCH, VA
ZIP 23462
Phone: (757) 473-0003

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NPI Details

KEMPSVILLE PRIMARY MEDICAL CARE CENTER INC is a primary care clinic center in Virginia Bch, VA. KEMPSVILLE PRIMARY MEDICAL CARE CENTER INC NPI is 1013187947. The provider is registered as an organization entity type.

The provider's business location address is:

5136 PRINCESS ANNE RD
VIRGINIA BCH, VA
ZIP 23462-228
Phone: (757) 473-0003
Fax: (757) 497-9510

The provider's authorized official is Josue Apilan Miranda .
The authorized official title is Owner and has the following contact phone number (757) 473-0003.

The CLIA number assigned to this NPI record is 49D0229162 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/7/2008.

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	0101034998	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	7320256	MEDICAID	VIRGINIA
2	B09645	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: 3/30/2025

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