| Little Creek Family Medical Center | |
|
7447 Central Business Park Dr Norfolk VA 23513-2831 | |
| (757) 295-8100 | |
| (757) 215-1054 |
| Full Name | Little Creek Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7447 Central Business Park Dr, Norfolk, Virginia |
| Authorized Official Name and Position | Barbara Willis (CEO) |
| Authorized Official Contact | 7573936363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Creek Family Medical Center 644 Lincoln Street Portsmouth VA 23704 Ph: (757) 393-6363 | Little Creek Family Medical Center 7447 Central Business Park Dr Norfolk VA 23513-2831 Ph: (757) 295-8100 |
| NPI Number | 1144604877 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 01/22/2020 |
| Medicare PECOS PAC ID | 1052301835 |
|---|---|
| Medicare Enrollment ID | O20150922000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144604877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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