| The Family Practice Of Manakin-sabot Pc | |
|
294 River Rd W Manakin Sabot VA 23103-3200 | |
| (804) 784-8800 | |
| (804) 784-7203 |
| Full Name | The Family Practice Of Manakin-sabot Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 294 River Rd W, Manakin Sabot, Virginia |
| Authorized Official Name and Position | Ralph D Hellams (PRESIDENT) |
| Authorized Official Contact | 8047848800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Practice Of Manakin-sabot Pc 294 River Rd W Manakin Sabot VA 23103-3200 Ph: (804) 784-8800 | The Family Practice Of Manakin-sabot Pc 294 River Rd W Manakin Sabot VA 23103-3200 Ph: (804) 784-8800 |
| NPI Number | 1487613113 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 02/19/2014 |
| Medicare PECOS PAC ID | 5193624898 |
|---|---|
| Medicare Enrollment ID | O20031231000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487613113 | NPI | - | NPPES |
| C08626 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ralph D Hellams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053380352 PECOS PAC ID: 8224937925 Enrollment ID: I20040517000680 |
| Provider Name | John P White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336148923 PECOS PAC ID: 7416082458 Enrollment ID: I20100316000990 |
| Provider Name | Nathan J Davenport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700156320 PECOS PAC ID: 8123269339 Enrollment ID: I20140618000930 |
| Provider Name | Leah M Lecuyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462288 PECOS PAC ID: 6305190935 Enrollment ID: I20181116001042 |
Centerville Family Practice, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 46 Broad Street Rd, Suite A, Manakin Sabot, VA 23103 Phone: 804-708-9480 Fax: 804-708-0865 | |
Integrated Therapy Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Broad Street Rd, Manakin Sabot, VA 23103 Phone: 804-784-3514 |