Healthcare Provider Details

I. General information

NPI: 1821290479
Provider Name (Legal Business Name): FAMILY CARE OF CHILHOWIE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 CHILHOWIE ST
CHILHOWIE VA
24319
US

IV. Provider business mailing address

403 CHILHOWIE ST
CHILHOWIE VA
24319-3461
US

V. Phone/Fax

Practice location:
  • Phone: 276-646-3241
  • Fax: 276-646-2592
Mailing address:
  • Phone: 276-646-3241
  • Fax: 276-646-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GERARD H MURPHY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 276-646-3241