| Village Family Healthcare, Llc | |
|
28170 Old Village Rd Ste 102 Mechanicsville MD 20659-4211 | |
| (301) 481-5105 | |
| Not Available |
| Full Name | Village Family Healthcare, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 28170 Old Village Rd Ste 102, Mechanicsville, Maryland |
| Authorized Official Name and Position | Tara Wood (OWNER) |
| Authorized Official Contact | 2402496073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Healthcare, Llc 28170 Old Village Rd Ste 102 Mechanicsville MD 20659-4211 Ph: () - | Village Family Healthcare, Llc 28170 Old Village Rd Ste 102 Mechanicsville MD 20659-4211 Ph: (301) 481-5105 |
| NPI Number | 1780350827 |
|---|---|
| Provider Enumeration Date | 08/18/2021 |
| Last Update Date | 05/24/2022 |
| Medicare PECOS PAC ID | 2567850605 |
|---|---|
| Medicare Enrollment ID | O20211022001218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780350827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tara D Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619390325 PECOS PAC ID: 6305152851 Enrollment ID: I20150831000476 |
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