| Primary Care Of West End Llc | |
|
2004 Bremo Rd Ste. 201 Richmond VA 23226-2442 | |
| (804) 239-1640 | |
| (804) 239-1655 |
| Full Name | Primary Care Of West End Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2004 Bremo Rd, Richmond, Virginia |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of West End Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Primary Care Of West End Llc 2004 Bremo Rd Ste. 201 Richmond VA 23226-2442 Ph: (804) 239-1640 |
| NPI Number | 1205998176 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 4385749456 |
|---|---|
| Medicare Enrollment ID | O20070418000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205998176 | NPI | - | NPPES |
| 1205998176 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
| Provider Name | Thomas H Veech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710917745 PECOS PAC ID: 1850317397 Enrollment ID: I20051024000478 |
| Provider Name | Lauren H Goode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568670115 PECOS PAC ID: 6406909654 Enrollment ID: I20090805000418 |
| Provider Name | Bert W Holmes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881962645 PECOS PAC ID: 6608095682 Enrollment ID: I20140924001728 |
| Provider Name | Karen L Galichon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447218193 PECOS PAC ID: 2365443496 Enrollment ID: I20150326000577 |
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