| Five Star Healthcare | |
|
4867 Baxter Rd Ste 105 Virginia Beach VA 23462-4469 | |
| (757) 473-9300 | |
| (757) 473-9361 |
| Full Name | Five Star Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 4867 Baxter Rd Ste 105, Virginia Beach, Virginia |
| Authorized Official Name and Position | James Halverson (OWNER) |
| Authorized Official Contact | 7574739300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Five Star Healthcare 320 Westside Station Dr Winchester VA 22601-2839 Ph: (888) 886-8054 | Five Star Healthcare 4867 Baxter Rd Ste 105 Virginia Beach VA 23462-4469 Ph: (757) 473-9300 |
| NPI Number | 1023582574 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023582574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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