| Family Health Clinic, Inc. | |
|
600 Randolph St Radford VA 24141-2428 | |
| (540) 639-5300 | |
| (540) 639-4653 |
| Full Name | Family Health Clinic, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 600 Randolph St, Radford, Virginia |
| Authorized Official Name and Position | Donna R Judy (OFFICE MANAGER) |
| Authorized Official Contact | 5406395300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Clinic, Inc. 600 Randolph St Radford VA 24141-2428 Ph: (540) 639-5300 | Family Health Clinic, Inc. 600 Randolph St Radford VA 24141-2428 Ph: (540) 639-5300 |
| NPI Number | 1740393891 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/30/2017 |
| Medicare PECOS PAC ID | 9032250469 |
|---|---|
| Medicare Enrollment ID | O20100107000655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740393891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 101014925 (Virginia) | Primary |
| Provider Name | Charles R Judy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720085392 PECOS PAC ID: 4183677552 Enrollment ID: I20050228000101 |
| Provider Name | Ida E Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003925108 PECOS PAC ID: 5890862999 Enrollment ID: I20080915000572 |
| Provider Name | Chad T Lard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821357328 PECOS PAC ID: 5991952798 Enrollment ID: I20170203001268 |
| Provider Name | Jessica Dowdy Windle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033822754 PECOS PAC ID: 4284090630 Enrollment ID: I20230510001142 |
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