James River Primary Care | |
7605 Forest Ave Suite 100 Richmond VA 23229-4938 | |
(804) 288-8338 | |
(804) 282-2424 |
Full Name | James River Primary Care |
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Speciality | Internal Medicine |
Location | 7605 Forest Ave, Richmond, Virginia |
Authorized Official Name and Position | Christy Neighbors (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 8042888338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James River Primary Care 7605 Forest Ave Suite 100 Richmond VA 23229-4938 Ph: (804) 288-8338 | James River Primary Care 7605 Forest Ave Suite 100 Richmond VA 23229-4938 Ph: (804) 288-8338 |
NPI Number | 1336106004 |
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Provider Enumeration Date | 04/27/2006 |
Last Update Date | 01/26/2010 |
Medicare PECOS PAC ID | 5991874562 |
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Medicare Enrollment ID | O20080522000111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336106004 | NPI | - | NPPES |
6040951 | Medicaid | VA | |
6042244 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101032142 (Virginia) | Primary |
Provider Name | Leslie W Rose |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902863079 PECOS PAC ID: 1951470434 Enrollment ID: I20100419000049 |
Provider Name | Robert T Turner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083671150 PECOS PAC ID: 9133298615 Enrollment ID: I20100723000105 |
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