| Faith Medical & Wellness Clinic, Llc | |
|
1141 W Stuart Dr Hillsville VA 24343-1593 | |
| (276) 266-3134 | |
| (276) 266-3086 |
| Full Name | Faith Medical & Wellness Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1141 W Stuart Dr, Hillsville, Virginia |
| Authorized Official Name and Position | Kimberly Nichole Horton (FNP-BC / OWNER) |
| Authorized Official Contact | 2762663134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Medical & Wellness Clinic, Llc Po Box 811 Hillsville VA 24343-0811 Ph: (276) 266-3134 | Faith Medical & Wellness Clinic, Llc 1141 W Stuart Dr Hillsville VA 24343-1593 Ph: (276) 266-3134 |
| NPI Number | 1235845033 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 2769847359 |
|---|---|
| Medicare Enrollment ID | O20230504000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235845033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly N Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114464963 PECOS PAC ID: 7719262914 Enrollment ID: I20170331000350 |
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