| Tazewell Family Health, Inc. | |
|
840 E Fincastle Tpke Tazewell VA 24651-1419 | |
| (276) 385-0279 | |
| Not Available |
| Full Name | Tazewell Family Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 840 E Fincastle Tpke, Tazewell, Virginia |
| Authorized Official Name and Position | Karen E Brewster (OFFICER) |
| Authorized Official Contact | 2763850279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tazewell Family Health, Inc. 840 E Fincastle Tpke Tazewell VA 24651-1419 Ph: (276) 385-0279 | Tazewell Family Health, Inc. 840 E Fincastle Tpke Tazewell VA 24651-1419 Ph: (276) 385-0279 |
| NPI Number | 1326404203 |
|---|---|
| Provider Enumeration Date | 01/08/2016 |
| Last Update Date | 06/20/2016 |
| Medicare PECOS PAC ID | 5890085377 |
|---|---|
| Medicare Enrollment ID | O20160613001558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326404203 | NPI | - | NPPES |
| 1134543911 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0024171492 (Virginia) | Primary |
| Provider Name | Karen E Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134543911 PECOS PAC ID: 5597985614 Enrollment ID: I20141013000492 |
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