| Carilion Clinic Family Medicine | |
|
1375 W Ridge Rd Wytheville VA 24382-5011 | |
| (276) 228-8686 | |
| Not Available |
| Full Name | Carilion Clinic Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1375 W Ridge Rd, Wytheville, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Clinic Family Medicine 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5677 | Carilion Clinic Family Medicine 1375 W Ridge Rd Wytheville VA 24382-5011 Ph: (276) 228-8686 |
| NPI Number | 1699393736 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 3678670221 |
|---|---|
| Medicare Enrollment ID | O20210112001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699393736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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