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COMMUNITY PHYSICIANS SERVICES CORPORATION NPI 1053522565


NPI Information

NPI: 1053522565
Provider Name: COMMUNITY PHYSICIANS SERVICES CORPORATION
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 49D0924353

Address:
716 SPRING AVE NE
WISE, VA
ZIP 24293
Phone: (276) 328-8910
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COMMUNITY PHYSICIANS SERVICES CORPORATION is a medical specialty clinic center in Wise, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). COMMUNITY PHYSICIANS SERVICES CORPORATION NPI is 1053522565. The provider is registered as an organization entity type.

The provider's business location address is:

716 SPRING AVE NE
WISE, VA
ZIP 24293-702
Phone: (276) 328-8910
Fax: (276) 328-4318

The provider's authorized official is Emily Jane Sturgill .
The authorized official title is Practice Manager and has the following contact phone number (276) 679-8890.

The CLIA number assigned to this NPI record is 49D0924353 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 8/22/2020.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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: 5/5/2024

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