| Highpower, Pc | |
|
122 Price St Lebanon VA 24266-7122 | |
| (276) 395-3938 | |
| Not Available |
| Full Name | Highpower, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 Price St, Lebanon, Virginia |
| Authorized Official Name and Position | Samuel Hughes Melton (DIRECTOR) |
| Authorized Official Contact | 2763953938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highpower, Pc Po Box 2964 Lebanon VA 24266-2964 Ph: (276) 395-3938 | Highpower, Pc 122 Price St Lebanon VA 24266-7122 Ph: (276) 395-3938 |
| NPI Number | 1427329804 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 06/24/2012 |
| Medicare PECOS PAC ID | 5799945705 |
|---|---|
| Medicare Enrollment ID | O20120329000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427329804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Jennifer A Jonkers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548339989 PECOS PAC ID: 4981684560 Enrollment ID: I20040723000404 |
| Provider Name | Virginia Ann Thurston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611882 PECOS PAC ID: 8527280650 Enrollment ID: I20141105001380 |
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