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INDEPENDENCE FAMILY CARE CENTER PC NPI 1538101951


NPI Information

NPI: 1538101951
Provider Name: INDEPENDENCE FAMILY CARE CENTER, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
217 S INDEPENDENCE AVE
INDEPENDENCE, VA
ZIP 24348
Phone: (276) 773-2111
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INDEPENDENCE FAMILY CARE CENTER, PC is a family medicine in Independence, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INDEPENDENCE FAMILY CARE CENTER, PC NPI is 1538101951. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

217 S INDEPENDENCE AVE
INDEPENDENCE, VA
ZIP 24348-802
Phone: (276) 773-2111
Fax: (273) 773-2942

The provider's authorized official is Nance Ann Lovelace .
The authorized official title is President and has the following contact phone number (276) 773-2111.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 3/16/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineVIRGINIAYes

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
1010094640MEDICAIDVIRGINIA
2010084326MEDICAIDVIRGINIA
3498904MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE VERTIUS
4143862OTHERVIRGINIABCBS
5S66686OTHERVIRGINIAREYNOLDS
6P00196283MEDICARE ID-TYPE UNSPECIFIEDVIRGINIARRMCR LOVELACE
7C09139MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMEDICARE TRAILBLAZER
8F86071MEDICARE UPINVIRGINIA
900W007I01MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAMCR TB LOVELACE
10010134129MEDICAIDVIRGINIA

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

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