| Crewe Medical Center Inc | |
|
12522 W Colonial Trail Hwy Crewe VA 23930-0528 | |
| (434) 645-9191 | |
| (434) 645-1859 |
| Full Name | Crewe Medical Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12522 W Colonial Trail Hwy, Crewe, Virginia |
| Authorized Official Name and Position | Jonathan E Marston (PRESIDENT) |
| Authorized Official Contact | 4346459191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crewe Medical Center Inc Po Box 528 Crewe VA 23930-0528 Ph: (434) 645-9191 | Crewe Medical Center Inc 12522 W Colonial Trail Hwy Crewe VA 23930-0528 Ph: (434) 645-9191 |
| NPI Number | 1316120892 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 08/26/2008 |
| Medicare PECOS PAC ID | 6901977883 |
|---|---|
| Medicare Enrollment ID | O20080620000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316120892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jonathan Eric Marston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841376720 PECOS PAC ID: 3173694056 Enrollment ID: I20080620000064 |
| Provider Name | Clarence Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487730362 PECOS PAC ID: 4082785969 Enrollment ID: I20080620000084 |
| Provider Name | Charles Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912135740 PECOS PAC ID: 6800797531 Enrollment ID: I20090818000561 |
| Provider Name | Christy Johnson-oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609386465 PECOS PAC ID: 8325308349 Enrollment ID: I20180212001169 |
Housecalls Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306 Custis St # A, Crewe, VA 23930 Phone: 434-538-0345 Fax: 434-538-0285 | |
House Calls M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 306a Custis St, Crewe, VA 23930 Phone: 434-538-0345 Fax: 434-538-0285 | |
Crewe Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12522 W. Colonial Trail Hwy., Crewe, VA 23930 Phone: 434-645-9191 Fax: 434-645-1859 |