White Oak Primary Care, Inc. | |
235 N Main St Halifax VA 24558-2995 | |
(434) 830-2605 | |
(434) 830-2258 |
Full Name | White Oak Primary Care, Inc. |
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Speciality | Clinic/Center |
Location | 235 N Main St, Halifax, Virginia |
Authorized Official Name and Position | Shannon N Scearce (OWNER/PRESIDENT/PROVIDER) |
Authorized Official Contact | 4348302605 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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White Oak Primary Care, Inc. 235 N Main St Halifax VA 24558-2995 Ph: (434) 830-2605 | White Oak Primary Care, Inc. 235 N Main St Halifax VA 24558-2995 Ph: (434) 830-2605 |
NPI Number | 1639799166 |
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Provider Enumeration Date | 04/24/2020 |
Last Update Date | 04/24/2020 |
Medicare PECOS PAC ID | 8628409695 |
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Medicare Enrollment ID | O20200506001478 |
Identifier | Type | State | Issuer |
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1639799166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Shannon N Scearce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407957095 PECOS PAC ID: 9032212741 Enrollment ID: I20070319000432 |
Halifax Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 N Main St, Halifax, VA 24558 Phone: 434-476-7455 Fax: 434-476-6385 | |
Halifax Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Main St, Halifax, VA 24558 Phone: 434-476-1220 Fax: 434-476-1440 |