| Providence Family & Sports Medicine, Inc | |
|
173 Executive Dr Danville VA 24541-4101 | |
| (434) 791-4110 | |
| (434) 791-4003 |
| Full Name | Providence Family & Sports Medicine, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 173 Executive Dr, Danville, Virginia |
| Authorized Official Name and Position | Lisa Campbell Wood (OFFICE MANAGER) |
| Authorized Official Contact | 4347914110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family & Sports Medicine, Inc 173 Executive Dr Danville VA 24541-4101 Ph: (434) 791-4110 | Providence Family & Sports Medicine, Inc 173 Executive Dr Danville VA 24541-4101 Ph: (434) 791-4110 |
| NPI Number | 1053403378 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 05/26/2022 |
| Medicare PECOS PAC ID | 1557384484 |
|---|---|
| Medicare Enrollment ID | O20060106000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053403378 | NPI | - | NPPES |
| 1053403378 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen L Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922056290 PECOS PAC ID: 3577588235 Enrollment ID: I20051011001173 |
| Provider Name | Albert Carl Winfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679588461 PECOS PAC ID: 4082637913 Enrollment ID: I20060110000307 |
| Provider Name | Carolyn Sue Seepe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407861297 PECOS PAC ID: 3779506340 Enrollment ID: I20060110000322 |
| Provider Name | Linda Q Morrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205874112 PECOS PAC ID: 1850589383 Enrollment ID: I20101227000739 |
| Provider Name | Wendy L Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669450250 PECOS PAC ID: 5294628889 Enrollment ID: I20130806000103 |
| Provider Name | Annette E Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114340767 PECOS PAC ID: 5496979593 Enrollment ID: I20140611001246 |
| Provider Name | Courtney Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528628989 PECOS PAC ID: 3274965991 Enrollment ID: I20191119002062 |
Dominion Primary Care-centra Medical Grouop Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Exchange St, Suite F, Danville, VA 24541 Phone: 434-791-1562 | |
Centra Health Medical Center-danville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 414 Park Avenue, Danville, VA 24541 Phone: 434-791-1562 | |
Proverbs Medical And Health Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Arnett Blvd Ste 1a, Danville, VA 24540 Phone: 571-314-6136 | |
Michael H Torres Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Vicar Pl, Suite A, Danville, VA 24540 Phone: 434-836-5676 Fax: 434-836-5784 | |
Piedmont Access To Health Services, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Broad St, Danville, VA 24541 Phone: 434-266-9657 Fax: 434-791-2191 | |
Piedmont Access To Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Main St, Danville, VA 24541 Phone: 434-791-4555 Fax: 434-791-4473 |