| Prime Care Family Care, Inc. | |
|
2511 Salem Church Rd Fredericksburg VA 22407 | |
| (540) 786-1200 | |
| (540) 786-3195 |
| Full Name | Prime Care Family Care, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2511 Salem Church Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Clifton A. Sheets (PRESIDENT) |
| Authorized Official Contact | 5407861200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Family Care, Inc. 2511 Salem Church Rd Fredericksburg VA 22407-6466 Ph: (540) 786-1200 | Prime Care Family Care, Inc. 2511 Salem Church Rd Fredericksburg VA 22407 Ph: (540) 786-1200 |
| NPI Number | 1780612424 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 08/14/2018 |
| Medicare PECOS PAC ID | 7618959750 |
|---|---|
| Medicare Enrollment ID | O20040603000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780612424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Clifton A Sheets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831287945 PECOS PAC ID: 6305836883 Enrollment ID: I20040715000827 |
| Provider Name | Karl H Lagally |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720035918 PECOS PAC ID: 6800813494 Enrollment ID: I20051102000526 |
| Provider Name | Amanda Marie Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790394104 PECOS PAC ID: 4981014362 Enrollment ID: I20201114000013 |
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