| 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 |
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