First Choice Health Care Llc | |
357 Fern Ridge Ln Galax VA 24333-3298 | |
(276) 233-7249 | |
Not Available |
Full Name | First Choice Health Care Llc |
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Speciality | Family Medicine |
Location | 357 Fern Ridge Ln, Galax, Virginia |
Authorized Official Name and Position | Joanie Marie Cochran (CREDENTIALING AGENT) |
Authorized Official Contact | 3363069755 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Choice Health Care Llc 357 Fern Ridge Ln Galax VA 24333-3298 Ph: () - | First Choice Health Care Llc 357 Fern Ridge Ln Galax VA 24333-3298 Ph: (276) 233-7249 |
NPI Number | 1821691122 |
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Provider Enumeration Date | 11/18/2020 |
Last Update Date | 11/19/2020 |
Medicare PECOS PAC ID | 2769894146 |
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Medicare Enrollment ID | O20201208002131 |
Identifier | Type | State | Issuer |
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1821691122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ashley A Houk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548676505 PECOS PAC ID: 1355563867 Enrollment ID: I20150303002396 |
Provider Name | Katrina B Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558026955 PECOS PAC ID: 8325430796 Enrollment ID: I20220114000357 |
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