| Family First Medical Pc | |
|
282 Westgate Mall Cir Pennington Gap VA 24277-0030 | |
| (276) 546-5600 | |
| Not Available |
| Full Name | Family First Medical Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 282 Westgate Mall Cir, Pennington Gap, Virginia |
| Authorized Official Name and Position | Mona Speak (OWNER) |
| Authorized Official Contact | 2765465600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Medical Pc Po Box 556 Pennington Gap VA 24277-0556 Ph: (276) 546-5600 | Family First Medical Pc 282 Westgate Mall Cir Pennington Gap VA 24277-0030 Ph: (276) 546-5600 |
| NPI Number | 1851940175 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 03/18/2020 |
| Medicare PECOS PAC ID | 6507198470 |
|---|---|
| Medicare Enrollment ID | O20191025000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851940175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mona D Speak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366682551 PECOS PAC ID: 0840357224 Enrollment ID: I20090330000636 |
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