| Louisa Family Practice, Plc | |
|
101 Woolfolk Avenue Louisa VA 23093 | |
| (540) 967-2202 | |
| (540) 967-1676 |
| Full Name | Louisa Family Practice, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Woolfolk Avenue, Louisa, Virginia |
| Authorized Official Name and Position | Al Southall (OWNER) |
| Authorized Official Contact | 5409672202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Louisa Family Practice, Plc 101 Woolfolk Avenue P.o. Box 1367 Louisa VA 23093 Ph: (540) 967-2202 | Louisa Family Practice, Plc 101 Woolfolk Avenue Louisa VA 23093 Ph: (540) 967-2202 |
| NPI Number | 1912092438 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9436290210 |
|---|---|
| Medicare Enrollment ID | O20091231000272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912092438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alger R Southall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427089028 PECOS PAC ID: 1153462932 Enrollment ID: I20100115000088 |
| Provider Name | Edward R Harkrader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558374249 PECOS PAC ID: 3870634652 Enrollment ID: I20100115000136 |
Health & Wellness Center Of Louisa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Industrial Drive, Louisa, VA 23093 Phone: 434-581-3271 | |
Blue Ridge Long Term Care Associates, Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 Elm Ave, Louisa, VA 23093 Phone: 434-242-7077 |