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217 S Independence Ave Independence VA 24348-2802 | |
(276) 773-2063 | |
(276) 773-2118 |
Full Name | |
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Speciality | Clinic/Center |
Location | 217 S Independence Ave, Independence, Virginia |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 217 S Independence Ave Independence VA 24348-2802 Ph: (276) 773-2063 |
NPI Number | 1104512276 |
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Provider Enumeration Date | 04/12/2023 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 7214199512 |
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Medicare Enrollment ID | O20230510003517 |
Identifier | Type | State | Issuer |
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1104512276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Independence Family Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Independence Ave, Independence, VA 24348 Phone: 276-773-2111 | |
Independence Family Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Independence Ave, Independence, VA 24348 Phone: 276-773-2111 Fax: 273-773-2942 | |
Grayson Highlands Family Medicine & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 East Main Street, Independence, VA 24348 Phone: 276-773-2865 Fax: 276-773-0843 |