Hope Clinic Of Farmville | |
1100 W 3rd St Farmville VA 23901-2628 | |
(434) 394-2422 | |
(434) 394-2435 |
Full Name | Hope Clinic Of Farmville |
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Speciality | Clinic/Center |
Location | 1100 W 3rd St, Farmville, Virginia |
Authorized Official Name and Position | Tammy J Wingo (OWNER/NURSE PRACTITIONER) |
Authorized Official Contact | 4343942422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Clinic Of Farmville Po Box 585 Farmville VA 23901-0585 Ph: (434) 394-2422 | Hope Clinic Of Farmville 1100 W 3rd St Farmville VA 23901-2628 Ph: (434) 394-2422 |
NPI Number | 1851931877 |
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Provider Enumeration Date | 01/07/2020 |
Last Update Date | 01/07/2020 |
Medicare PECOS PAC ID | 9133557424 |
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Medicare Enrollment ID | O20200319003032 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851931877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Tammy J Wingo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639172182 PECOS PAC ID: 7012900038 Enrollment ID: I20040406000724 |
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