FRIES FAMILY CARE CENTER PC NPI 1295851145

NPI Information

NPI: 1295851145
Provider Name: FRIES FAMILY CARE CENTER PC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
109 CARROL DR
FRIES, VA
ZIP 24330
Phone: (276) 744-3660
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FRIES FAMILY CARE CENTER PC is a rural health clinic center in Fries, VA. FRIES FAMILY CARE CENTER PC NPI is 1295851145. The provider is registered as an organization entity type.

The provider's business location address is:

109 CARROL DR
FRIES, VA
ZIP 24330-532
Phone: (276) 744-3660

The provider's authorized official is Nance Lovelace .
The authorized official title is President and has the following contact phone number (276) 744-3660.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 11/29/2011.

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	261QR1300X	Clinic/Center	Rural Health		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	171691	OTHER	VIRGINIA	BCBS ANTHEM
2	010238692	MEDICAID	VIRGINIA
3	498905	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	RHC VERITUS MEDICARE

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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