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NPI Code Detail

MEDICARE: CENTRAL VIRGINIA FAMILY PHYSICIANS, INC

MEDICARE: CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CC2392OTHERVAMEDICARE RAILROAD
2CF1947OTHERVAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CO3658OTHERVACVFP MCARE GROUP PTAN
41528155892OTHERVACVFP CORPORATE NPI

General Provider Information

NPI Number : 1770660847
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
Provider Business Mailing Address
First Line : PO BOX 2489
Second Line :
City : FOREST
State : VA
Zip : 24551-6489
Country : US
Telephone Number : 434-382-1139
Fax Number : 434-525-5748
Provider Business Practice Location Address
First Line : 1088 LONDON LINKS DR
Second Line :
City : FOREST
State : VA
Zip : 24551-4662
Country : US
Telephone Number : 434-534-6868
Fax Number : 434-534-8808
Authorized Official
Title or Position : STAFF CREDENTIALING MANAGER
Name : KAREN L HAYNES
Credential :
Telephone Number : 434-382-1139
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/16/2014

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Directions to “CENTRAL VIRGINIA FAMILY PHYSICIANS, INC ” Practice Location

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