| Rustburg Family Practice | |
|
925 Village Hwy Rustburg VA 24588-4591 | |
| (434) 332-7367 | |
| (434) 332-1757 |
| Full Name | Rustburg Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 925 Village Hwy, Rustburg, Virginia |
| Authorized Official Name and Position | Thomas W Eppes (PRESIDENT) |
| Authorized Official Contact | 4345256964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rustburg Family Practice Po Box 2489 Forest VA 24551-6489 Ph: (434) 382-1139 | Rustburg Family Practice 925 Village Hwy Rustburg VA 24588-4591 Ph: (434) 332-7367 |
| NPI Number | 1407936941 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 09/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407936941 | NPI | - | NPPES |
| 1528155892 | Other | VA | CVFP CORPORATE NPI |
| CA2436 | Other | VA | MEDICARE RAILROAD |
| C03658 | Other | VA | CVFP MCARE GROUP PTAN |
| CI3834 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Rustburg Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 925 Village Hwy, Rustburg, VA 24588 Phone: 434-528-0005 Fax: 434-528-0004 |