| Urbanna Family Practice,plc | |
|
5399 Old Virginia St. Urbanna VA 23175-0880 | |
| (804) 758-2110 | |
| (804) 758-0256 |
| Full Name | Urbanna Family Practice,plc |
|---|---|
| Speciality | Family Medicine |
| Location | 5399 Old Virginia St., Urbanna, Virginia |
| Authorized Official Name and Position | Kerry A Robusto (OFFICE MANAGER) |
| Authorized Official Contact | 8047582110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urbanna Family Practice,plc Po Box 880 Urbanna VA 23175-0880 Ph: (804) 758-2110 | Urbanna Family Practice,plc 5399 Old Virginia St. Urbanna VA 23175-0880 Ph: (804) 758-2110 |
| NPI Number | 1619157013 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 01/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619157013 | NPI | - | NPPES |
| 080009697 | Other | VA | MEDICARE RAILROAD |
| C06252 | Other | VA | MEDICARE PTAN |
| 5670411 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101037187 (Virginia) | Primary |
Urbanna Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Virginia St, Suite A, Urbanna, VA 23175 Phone: 804-285-6020 Fax: 804-758-2765 | |
Urbanna Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Virginia St, Suite A, Urbanna, VA 23175 Phone: 804-285-6020 Fax: 804-758-2765 |