Family Medical Center Pc | |
2105 E Parham Rd Ste 109 Richmond VA 23228-2236 | |
(804) 762-9646 | |
(804) 762-4754 |
Full Name | Family Medical Center Pc |
---|---|
Speciality | Family Medicine |
Location | 2105 E Parham Rd Ste 109, Richmond, Virginia |
Authorized Official Name and Position | James S Cook (OWNER) |
Authorized Official Contact | 8047629646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Family Medical Center Pc 2105 E Parham Rd Ste 109 Richmond VA 23228-2236 Ph: (804) 762-9646 | Family Medical Center Pc 2105 E Parham Rd Ste 109 Richmond VA 23228-2236 Ph: (804) 762-9646 |
NPI Number | 1740328756 |
---|---|
Provider Enumeration Date | 02/02/2007 |
Last Update Date | 09/07/2007 |
Medicare PECOS PAC ID | 3678675980 |
---|---|
Medicare Enrollment ID | O20070216000277 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740328756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | James Stuart Cook |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487743100 PECOS PAC ID: 3173625407 Enrollment ID: I20111209000481 |
Provider Name | Rebekah M King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043539505 PECOS PAC ID: 1850515602 Enrollment ID: I20140617001790 |
Provider Name | Swathi Reddy Ala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881200640 PECOS PAC ID: 8527465293 Enrollment ID: I20210922002241 |
Mary Brantley Holmes Msn Whnp-bc Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 | |
Independent Associates Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7605 Forest Ave, Ste 211, Richmond, VA 23229 Phone: 804-282-3114 Fax: 804-285-9723 | |