SUGAR HOLLOW MEDICAL NPI 1972772929

NPI Information

NPI: 1972772929
Provider Name: SUGAR HOLLOW MEDICAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3177 LINDEN DR
SUITE #6
BRISTOL, VA
ZIP 24202
Phone: (276) 466-3777
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SUGAR HOLLOW MEDICAL is a family medicine in Bristol, 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. SUGAR HOLLOW MEDICAL NPI is 1972772929. The provider is registered as an organization entity type.

The provider's business location address is:

3177 LINDEN DR
SUITE #6
BRISTOL, VA
ZIP 24202-812
Phone: (276) 466-3777
Fax: (276) 466-3705

The provider's authorized official is David P Guldseth .
The authorized official title is President and has the following contact phone number (276) 466-3777.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 4/15/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care	0101231449	VIRGINIA	No
2	207Q00000X	Family Medicine		0101231449	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	4053485	OTHER		BLUE CROSS -- TN
2	246144	OTHER	VIRGINIA	BLUE CROSS--VA
3	H41003	MEDICARE UPIN	VIRGINIA
4	00V083S29	OTHER	VIRGINIA	MEDICARE
5	5629934	MEDICAID	VIRGINIA
6	C08529	MEDICARE PIN	VIRGINIA

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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