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18877 Jeb Stuart Highway Stuart VA 24171-1019 | |
(276) 694-4466 | |
(276) 694-2909 |
Full Name | |
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Speciality | Clinic/Center |
Location | 18877 Jeb Stuart Highway, Stuart, Virginia |
Authorized Official Name and Position | Richard Claude Cole (PRESIDENT) |
Authorized Official Contact | 2766944466 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1019 Stuart VA 24171-1019 Ph: (276) 694-4466 | 18877 Jeb Stuart Highway Stuart VA 24171-1019 Ph: (276) 694-4466 |
NPI Number | 1063589448 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 05/15/2024 |
Medicare PECOS PAC ID | 0941232557 |
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Medicare Enrollment ID | O20120423000415 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063589448 | NPI | - | NPPES |
1972500668 | Other | RICHARD C.COLE,M.D. | |
1871590562 | Other | KIMBERLY D.COMPTON, PA | |
7610289 | Medicaid | VA | |
1861499691 | Other | ELIZABETH A.SHOCKLEY, NP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Patrick County Family Practice,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18877 Jeb Stuart Highway, Stuart, VA 24171 Phone: 276-694-4466 Fax: 276-694-2909 | |
Patrick Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-8678 Fax: 276-694-8655 | |
Lexington Family Physicians Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 336-944-6420 | |
Pch Express Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-3151 Fax: 276-694-8655 |