Bland County Medical Clinic, Inc. | |
12301 Grapefield Rd Bastian VA 24314-4547 | |
(276) 688-4331 | |
(276) 688-4336 |
Full Name | Bland County Medical Clinic, Inc. |
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Speciality | Clinic/Center |
Location | 12301 Grapefield Rd, Bastian, Virginia |
Authorized Official Name and Position | Susan Greever (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2766884331 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bland County Medical Clinic, Inc. 12301 Grapefield Rd Bastian VA 24314-4547 Ph: (276) 688-4331 | Bland County Medical Clinic, Inc. 12301 Grapefield Rd Bastian VA 24314-4547 Ph: (276) 688-4331 |
NPI Number | 1104800671 |
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Provider Enumeration Date | 11/30/2005 |
Last Update Date | 09/13/2024 |
Medicare PECOS PAC ID | 2264326453 |
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Medicare Enrollment ID | O20040210000077 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104800671 | NPI | - | NPPES |
007696167 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Deborah S Croy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174501993 PECOS PAC ID: 3375569791 Enrollment ID: I20051014000670 |
Provider Name | John Thomas Turski |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205874708 PECOS PAC ID: 1850303678 Enrollment ID: I20060619000121 |
Provider Name | Mary Jo H Collie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558451187 PECOS PAC ID: 5395642565 Enrollment ID: I20070424000487 |
Provider Name | Carolyn Elizabeth King |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477785392 PECOS PAC ID: 3072668615 Enrollment ID: I20090902000452 |
Provider Name | Michael O Crews |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215915137 PECOS PAC ID: 5698803641 Enrollment ID: I20100512000367 |
Provider Name | Lynn M Patton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144596206 PECOS PAC ID: 2567623309 Enrollment ID: I20120423000096 |
Provider Name | Tia E Sexton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376990937 PECOS PAC ID: 6608164512 Enrollment ID: I20161010000926 |
Provider Name | Deana Michelle Mccarty |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821541889 PECOS PAC ID: 6103114418 Enrollment ID: I20161205000535 |
Provider Name | Pamela S Crowder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275074213 PECOS PAC ID: 2062799331 Enrollment ID: I20170614000715 |
Provider Name | Sharon L Cecil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184164089 PECOS PAC ID: 6103195284 Enrollment ID: I20170705001675 |
Provider Name | Lindsey Heidrath Kennedy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225568934 PECOS PAC ID: 0042585978 Enrollment ID: I20171003006426 |
Provider Name | Matthew Dellacona |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1881033058 PECOS PAC ID: 0648586552 Enrollment ID: I20180905003329 |
Provider Name | April Bruner Simms |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487903761 PECOS PAC ID: 9335559772 Enrollment ID: I20201113000913 |
Provider Name | Anna Lorie Pettrey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831784750 PECOS PAC ID: 2769890045 Enrollment ID: I20210427000541 |
Provider Name | Tonya M. Mcfadden |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609834910 PECOS PAC ID: 7214981471 Enrollment ID: I20220223000730 |
Provider Name | Mary Grimmett |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194362657 PECOS PAC ID: 9032547278 Enrollment ID: I20220826000709 |
Provider Name | Melissa M Coleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922766815 PECOS PAC ID: 8022496637 Enrollment ID: I20220830002395 |
Provider Name | Phyllis Murray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235865015 PECOS PAC ID: 2567848443 Enrollment ID: I20220929002207 |
Provider Name | Vincent Filanova |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1346376118 PECOS PAC ID: 7113226960 Enrollment ID: I20221107003414 |
Provider Name | Samantha D Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063039378 PECOS PAC ID: 4587063540 Enrollment ID: I20230222000415 |
Provider Name | Angela K Stroupe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184314692 PECOS PAC ID: 0446612915 Enrollment ID: I20230815003092 |
Provider Name | Jennifer Armstrong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568611556 PECOS PAC ID: 0143385526 Enrollment ID: I20231116002045 |