| Afc Urgent Care | |
|
1013 University Blvd Ste 270-280 Suffolk VA 23435-0048 | |
| (757) 600-8451 | |
| Not Available |
| Full Name | Afc Urgent Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1013 University Blvd Ste 270-280, Suffolk, Virginia |
| Authorized Official Name and Position | Clarence Clarke (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7576008451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afc Urgent Care 104 Richmond Way Carrollton VA 23314-2760 Ph: () - | Afc Urgent Care 1013 University Blvd Ste 270-280 Suffolk VA 23435-0048 Ph: (757) 600-8451 |
| NPI Number | 1306320130 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 10/17/2018 |
| Medicare PECOS PAC ID | 6901140714 |
|---|---|
| Medicare Enrollment ID | O20181205002575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306320130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Edward S Thur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881786416 PECOS PAC ID: 0446345920 Enrollment ID: I20070927001061 |
| Provider Name | Clarence George Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356511992 PECOS PAC ID: 1456422104 Enrollment ID: I20080624000299 |
| Provider Name | Mark A Innis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740450220 PECOS PAC ID: 6800969601 Enrollment ID: I20080725000496 |
| Provider Name | Francine S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720304678 PECOS PAC ID: 7214196344 Enrollment ID: I20120309000245 |
| Provider Name | Anne L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043714850 PECOS PAC ID: 1951651132 Enrollment ID: I20181126000736 |
| Provider Name | Barbara Mato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447802640 PECOS PAC ID: 6406185776 Enrollment ID: I20190911002999 |
| Provider Name | Jessica Eve Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912512799 PECOS PAC ID: 6709204902 Enrollment ID: I20200921002262 |
| Provider Name | Carrie Nicole Duchaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932907 PECOS PAC ID: 3274933890 Enrollment ID: I20210617002413 |
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