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106 Park Drive Hot Springs VA 24445 | |
(540) 839-7137 | |
(540) 839-7088 |
Full Name | |
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Speciality | Clinic/Center |
Location | 106 Park Drive, Hot Springs, Virginia |
Authorized Official Name and Position | Jeffrey Lingerfelt (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5408397123 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box Z Hot Springs VA 24445 Ph: (540) 839-7137 | 106 Park Drive Hot Springs VA 24445 Ph: (540) 839-7137 |
NPI Number | 1851505440 |
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Provider Enumeration Date | 05/10/2007 |
Last Update Date | 12/09/2020 |
Medicare PECOS PAC ID | 0840193819 |
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Medicare Enrollment ID | O20080307000088 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851505440 | NPI | - | NPPES |
1851505440 | Other | VA | ANTHEM ER PHYS, HOSPITALIST AND RHC PCP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | H1827 (Virginia) | Primary |