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PREMISE HEALTH OF VIRGINIA MEDICAL P.C NPI 1598939894


NPI Information

NPI: 1598939894
Provider Name: PREMISE HEALTH OF VIRGINIA MEDICAL, P.C

Doing Business As: MCKEE FOODS FAMILY HEALTH CENTER STUARTS DRAFT

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D1006324

Address:
272 PATTON FARM RD
STUARTS DRAFT, VA
ZIP 24477
Phone: (540) 416-2060
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PREMISE HEALTH OF VIRGINIA MEDICAL, P.C is a general practice in Stuarts Draft, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PREMISE HEALTH OF VIRGINIA MEDICAL, P.C NPI is 1598939894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mckee Foods Family Health Center Stuarts Draft.

The provider's business location address is:

272 PATTON FARM RD
STUARTS DRAFT, VA
ZIP 24477-610
Phone: (540) 416-2060
Fax: (540) 416-2061

The provider's authorized official is Jonathan B Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 49D1006324 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2008 and was last updated on 8/15/2022.


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
1208D00000XGeneral PracticeYes

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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