| Isle Of Wight Health Department | |
|
919 S Church St Smithfield VA 23430-1715 | |
| (757) 357-4177 | |
| (757) 357-2838 |
| Full Name | Isle Of Wight Health Department |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 919 S Church St, Smithfield, Virginia |
| Authorized Official Name and Position | Angela Yvette Tillery (BUSINESS MANAGER) |
| Authorized Official Contact | 7575144765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isle Of Wight Health Department 919 S Church St Smithfield VA 23430-1715 Ph: (757) 357-4177 | Isle Of Wight Health Department 919 S Church St Smithfield VA 23430-1715 Ph: (757) 357-4177 |
| NPI Number | 1982679874 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 05/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982679874 | NPI | - | NPPES |
| 008770310 | Medicaid | VA | |
| 8450811 | Medicaid | VA | |
| 4975618 | Other | CLINIC | |
| 008700656 | Other | VA | PERSONAL CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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Family Medical Care Of Smithfield Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Gumwood Dr, Smithfield, VA 23430 Phone: 757-357-3331 Fax: 757-357-6635 |