| Cape Charles Medical Center | |
|
216 Mason Ave Cape Charles VA 23310-3200 | |
| (757) 331-1422 | |
| (757) 331-1624 |
| Full Name | Cape Charles Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 216 Mason Ave, Cape Charles, Virginia |
| Authorized Official Name and Position | Mark Gregory Clarke (PRESIDENT) |
| Authorized Official Contact | 7573311422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Charles Medical Center 216 Mason Ave Cape Charles VA 23310-3200 Ph: () - | Cape Charles Medical Center 216 Mason Ave Cape Charles VA 23310-3200 Ph: (757) 331-1422 |
| NPI Number | 1124112198 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124112198 | NPI | - | NPPES |
| 454260 | Other | VA | ANTHEM GROUP # |
| C08218 | Other | VA | MEDICARE GROUP PTAN NUMBER |
| 005642434 | Medicaid | VA | |
| 005642451 | Medicaid | VA | |
| CJ8918 | Other | VA | GROUP# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038467 (Virginia) | Primary |
Cape Charles Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 216 Mason Ave, Cape Charles, VA 23310 Phone: 757-331-1422 Fax: 757-331-1624 | |
Kiptopeke Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24023 Fairview Rd, Cape Charles, VA 23310 Phone: 757-331-1048 |