| |
780 Commonwealth Drive Norton VA 24273-0451 | |
(606) 218-3500 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 780 Commonwealth Drive, Norton, Virginia |
Authorized Official Name and Position | Michelle Hagy (CFO) |
Authorized Official Contact | 6062183500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
911 Bypass Road Pikeville KY 41501-1689 Ph: (606) 218-3500 | 780 Commonwealth Drive Norton VA 24273-0451 Ph: (606) 218-3500 |
NPI Number | 1982914552 |
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Provider Enumeration Date | 10/18/2010 |
Last Update Date | 10/18/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982914552 | NPI | - | NPPES |
65922361 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Community Physicians Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 15th St Nw, Ste 104, Norton, VA 24273 Phone: 276-679-8890 Fax: 276-679-9740 | |
Shahab M. Ehtesham Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Trent St Ne, Norton, VA 24273 Phone: 276-679-4200 Fax: 276-679-4230 | |