| Foundations Integrated Medical & Sports Health, Llc | |
|
300 Moore St Ste B Bristol VA 24201-4495 | |
| (276) 591-5448 | |
| (276) 591-5447 |
| Full Name | Foundations Integrated Medical & Sports Health, Llc |
|---|---|
| Speciality | General Practice |
| Location | 300 Moore St Ste B, Bristol, Virginia |
| Authorized Official Name and Position | Thomas L Muncy (OWNER) |
| Authorized Official Contact | 2765915448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Integrated Medical & Sports Health, Llc 300 Moore St Ste B Bristol VA 24201-4495 Ph: (276) 591-5448 | Foundations Integrated Medical & Sports Health, Llc 300 Moore St Ste B Bristol VA 24201-4495 Ph: (276) 591-5448 |
| NPI Number | 1770115578 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 10/13/2023 |
| Medicare PECOS PAC ID | 6204266448 |
|---|---|
| Medicare Enrollment ID | O20200430001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770115578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Samantha Joline Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023673407 PECOS PAC ID: 0547690711 Enrollment ID: I20200501000421 |
| Provider Name | Preston S Douglas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922696780 PECOS PAC ID: 9931518180 Enrollment ID: I20210429001799 |
Finch Family Medical Care. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Euclid Ave, Suite 2-3, Bristol, VA 24201 Phone: 276-466-0744 Fax: 276-466-1628 | |
Southwest Virginia Community Health Systems Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 Long Crescent Dr, Bristol, VA 24201 Phone: 276-496-4492 | |
Southwest Virginia Care Connection For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15068 Lee Hwy, Suite 900, Bristol, VA 24202 Phone: 276-645-4900 Fax: 276-645-4913 | |
Emdee Clinica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23164 Kestrel Dr, Bristol, VA 24202 Phone: 423-341-3040 | |
Walnut Grove Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3170 Linden Dr Ste 3, Bristol, VA 24202 Phone: 276-466-0355 Fax: 276-466-0016 | |
Twin City Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2195 Euclid Avenue, Suite 6, Bristol, VA 24201 Phone: 276-669-5179 Fax: 276-466-8870 | |
Ent Specialty Center Bristol Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3170 Linden Dr Ste 6, Bristol, VA 24202 Phone: 276-591-3687 Fax: 276-591-3627 |