| Family Medicine Of Clifton-centreville | |
|
6201 Centreville Rd Ste 100 Centreville VA 20121-2626 | |
| (703) 263-9600 | |
| (703) 266-1452 |
| Full Name | Family Medicine Of Clifton-centreville |
|---|---|
| Speciality | Family Medicine |
| Location | 6201 Centreville Rd Ste 100, Centreville, Virginia |
| Authorized Official Name and Position | James P. Jenkins (PRESIDENT) |
| Authorized Official Contact | 7033912030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Clifton-centreville Po Box 791128 Baltimore MD 21279-1128 Ph: (703) 391-2030 | Family Medicine Of Clifton-centreville 6201 Centreville Rd Ste 100 Centreville VA 20121-2626 Ph: (703) 263-9600 |
| NPI Number | 1710060330 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 02/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710060330 | NPI | - | NPPES |
| 1548266117 | Other | VA | NPI |
| 1699771394 | Other | VA | NPI |
| 5618916 | Medicaid | VA | |
| CO8267 | Other | VA | VIRGINIA MEDICARE |
| G00522 | Other | VA | MEDICARE HIGHMARK |
| 1487657136 | Other | VA | NPI |
| 010072409 | Medicaid | VA | |
| 1790781474 | Other | VA | NPI |
| 5618959 | Medicaid | VA | |
| 1205944964 | Other | VA | NPI |
| 1245236926 | Other | VA | NPI |
| 5604761 | Medicaid | VA | |
| 5619181 | Medicaid | VA | |
| 11664428801 | Other | VA | NPI |
| 5619050 | Medicaid | VA | |
| 5619076 | Medicaid | VA | |
| 1063418762 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | 0631926 (Virginia) | Secondary |
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