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ROCKY RUN FAMILY MEDICINE INC NPI 1043234552


NPI Information

NPI: 1043234552
Provider Name: ROCKY RUN FAMILY MEDICINE INC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 49D0892974

Address:
5645 STONE RD
CENTREVILLE, VA
ZIP 20120
Phone: (703) 266-2442
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ROCKY RUN FAMILY MEDICINE INC is a legal medicine in Centreville, VA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. ROCKY RUN FAMILY MEDICINE INC NPI is 1043234552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5645 STONE RD
CENTREVILLE, VA
ZIP 20120-618
Phone: (703) 266-2442
Fax: (703) 266-7158

The provider's authorized official is Laurie Susan Markin .
The authorized official title is President and has the following contact phone number (703) 266-2442.

The CLIA number assigned to this NPI record is 49D0892974 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine144870VIRGINIAYes

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
15615712MEDICAIDVIRGINIA
28094-0004OTHERVIRGINIACAREFIRST
3E76015MEDICARE UPINVIRGINIA
400A234R05MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
55615691MEDICAIDVIRGINIA
6383308OTHERVIRGINIAANTHEM BC/BS
7G28253MEDICARE UPINVIRGINIA
800A233R05MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
98094-0002OTHERVIRGINIACAREFIRST
10383306OTHERVIRGINIAANTHEM BC/BS
11G12322MEDICARE UPINVIRGINIA
125615747MEDICAIDVIRGINIA
13383307OTHERVIRGINIAANTHEM BC/BS
1400A232R05MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
158094-0001OTHERVIRGINIACAREFIRST

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.