Forest Family Care, Inc | |
1785 W Lee Hwy Wytheville VA 24382 | |
(276) 228-3355 | |
Not Available |
Full Name | Forest Family Care, Inc |
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Speciality | Clinic/Center |
Location | 1785 W Lee Hwy, Wytheville, Virginia |
Authorized Official Name and Position | Susan U Moore (OWNER) |
Authorized Official Contact | 2762286499 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Forest Family Care, Inc Po Box 662 Wytheville VA 24382-0662 Ph: (276) 228-6499 | Forest Family Care, Inc 1785 W Lee Hwy Wytheville VA 24382 Ph: (276) 228-3355 |
NPI Number | 1316270804 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 11/01/2017 |
Medicare PECOS PAC ID | 4284769415 |
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Medicare Enrollment ID | O20100312000859 |
Identifier | Type | State | Issuer |
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1316270804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0101045977 (Virginia) | Primary |
Provider Name | Susan R Griffin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881613727 PECOS PAC ID: 7719974294 Enrollment ID: I20040427001140 |
Provider Name | Mary Elizabeth Marinus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619083136 PECOS PAC ID: 9739123118 Enrollment ID: I20050616000321 |
Provider Name | Susan U Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770593212 PECOS PAC ID: 0749387934 Enrollment ID: I20070523000271 |
Provider Name | Jill B Snider |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427227883 PECOS PAC ID: 5395814743 Enrollment ID: I20080527000431 |
Provider Name | Tammy S Terry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376711721 PECOS PAC ID: 7911077797 Enrollment ID: I20080605000334 |
Provider Name | Jan Rasnake |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356651897 PECOS PAC ID: 2668657818 Enrollment ID: I20110503000515 |
Provider Name | Denise E Clay |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952337925 PECOS PAC ID: 1759321250 Enrollment ID: I20120323000393 |
Provider Name | Etthan Charles Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336546209 PECOS PAC ID: 6507187176 Enrollment ID: I20150608001954 |
Provider Name | Tara D Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144617705 PECOS PAC ID: 7810207362 Enrollment ID: I20151112001426 |
Provider Name | Michele Lee Keesling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659824332 PECOS PAC ID: 2163710864 Enrollment ID: I20161012002745 |
Provider Name | Cassie A Sheffey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063921625 PECOS PAC ID: 5991063026 Enrollment ID: I20171219003450 |
Provider Name | Beth Shavon Dalton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346756996 PECOS PAC ID: 9436419108 Enrollment ID: I20180129002586 |
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