Valley Family & Procedural Medicine | |
640 Warrior Dr Suite 109 Stephens City VA 22655-4076 | |
(540) 868-2511 | |
(540) 868-9105 |
Full Name | Valley Family & Procedural Medicine |
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Speciality | Family Medicine |
Location | 640 Warrior Dr, Stephens City, Virginia |
Authorized Official Name and Position | Charles A Middelhof (OWNER/PHYSICIAN) |
Authorized Official Contact | 5408682511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Family & Procedural Medicine 640 Warrior Dr Suite 109 Stephens City VA 22655-4076 Ph: (540) 868-2511 | Valley Family & Procedural Medicine 640 Warrior Dr Suite 109 Stephens City VA 22655-4076 Ph: (540) 868-2511 |
NPI Number | 1770768731 |
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Provider Enumeration Date | 01/08/2008 |
Last Update Date | 07/14/2009 |
Medicare PECOS PAC ID | 9537248471 |
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Medicare Enrollment ID | O20080505000339 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770768731 | NPI | - | NPPES |
1770768731 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Charles A Middelhof |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750586236 PECOS PAC ID: 6709965650 Enrollment ID: I20080505000348 |
Stephens City Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 370 Fairfax Pike, Stephens City, VA 22655 Phone: 540-868-4100 Fax: 540-868-0888 | |
Scfm Convenience Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 160 Warrior Dr, Stephens City, VA 22655 Phone: 540-868-4100 Fax: 540-868-0888 |