| Village Family Practice | |
|
420 Epting Ave # B Greenwood SC 29646-4040 | |
| (864) 941-8121 | |
| (864) 330-8237 |
| Full Name | Village Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 420 Epting Ave # B, Greenwood, South Carolina |
| Authorized Official Name and Position | Lisa Y Gilmer (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8649418121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Practice 313 Main St Ste B Greenwood SC 29646-2757 Ph: (864) 388-0301 | Village Family Practice 420 Epting Ave # B Greenwood SC 29646-4040 Ph: (864) 941-8121 |
| NPI Number | 1518338698 |
|---|---|
| Provider Enumeration Date | 10/14/2015 |
| Last Update Date | 10/14/2015 |
| Medicare PECOS PAC ID | 5496707804 |
|---|---|
| Medicare Enrollment ID | O20151204000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518338698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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