| William A Davis Clinic | |
|
1389 Dante Road St Paul VA 24283 | |
| (276) 762-0770 | |
| (276) 762-0678 |
| Full Name | William A Davis Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1389 Dante Road, St Paul, Virginia |
| Authorized Official Name and Position | Malcolm Perdue (CEO) |
| Authorized Official Contact | 2765465310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William A Davis Clinic Clinic Drive Highway 63 North St Paul VA 24283 Ph: (276) 762-0770 | William A Davis Clinic 1389 Dante Road St Paul VA 24283 Ph: (276) 762-0770 |
| NPI Number | 1710104260 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/29/2010 |
| Medicare PECOS PAC ID | 0244124584 |
|---|---|
| Medicare Enrollment ID | O20070612000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710104260 | NPI | - | NPPES |
| 007602979 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Riverside Community Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Highway 58, 1 Riverside Drive, Riverside Shopping Center, St Paul, VA 24283 Phone: 276-762-2300 | |
Bhrhc St. Paul Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16431 Wise St, St Paul, VA 24283 Phone: 276-762-2300 Fax: 276-762-0612 |