Independence Family Care Center | |
217 S Independence Ave Independence VA 24348-2802 | |
(276) 236-0065 | |
Not Available |
Full Name | Independence Family Care Center |
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Speciality | Internal Medicine |
Location | 217 S Independence Ave, Independence, Virginia |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Independence Family Care Center 217 S Independence Ave Independence VA 24348-2802 Ph: (276) 236-0065 | Independence Family Care Center 217 S Independence Ave Independence VA 24348-2802 Ph: (276) 236-0065 |
NPI Number | 1053687285 |
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Provider Enumeration Date | 04/02/2012 |
Last Update Date | 10/10/2024 |
Medicare PECOS PAC ID | 7214199512 |
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Medicare Enrollment ID | O20140725001883 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053687285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ronda Benge Blevins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568484426 PECOS PAC ID: 0042380818 Enrollment ID: I20080605000296 |
Twin County Family Care Center - Independence Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 S Independence Ave, Independence, VA 24348 Phone: 276-773-2063 Fax: 276-773-2118 | |
Independence Family Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Independence Ave, Independence, VA 24348 Phone: 276-773-2111 | |
Independence Family Care Center, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 S Independence Ave, Independence, VA 24348 Phone: 276-773-2111 Fax: 273-773-2942 | |
Primary Care Centre Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 E. Main Street, Independence, VA 24348 Phone: 276-773-2218 Fax: 276-773-2815 | |
Grayson Highlands Family Medicine & Obstetrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 East Main Street, Independence, VA 24348 Phone: 276-773-2865 Fax: 276-773-0843 |