| Bath Community Physicians Group Millboro | |
|
432 Church St Millboro VA 24460-2132 | |
| (540) 997-9219 | |
| (540) 839-4831 |
| Full Name | Bath Community Physicians Group Millboro |
|---|---|
| Speciality | Clinic/Center |
| Location | 432 Church St, Millboro, Virginia |
| Authorized Official Name and Position | Jeff Lingerfelt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5408397123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bath Community Physicians Group Millboro Po Box Z Hot Springs VA 24445-0750 Ph: (540) 839-7197 | Bath Community Physicians Group Millboro 432 Church St Millboro VA 24460-2132 Ph: (540) 997-9219 |
| NPI Number | 1114408929 |
|---|---|
| Provider Enumeration Date | 08/29/2018 |
| Last Update Date | 12/09/2020 |
| Medicare PECOS PAC ID | 0840193819 |
|---|---|
| Medicare Enrollment ID | O20181116000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114408929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | H1827 (Virginia) | Primary |
Bath Community Physicians Group - Millboro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Church Street, Millboro, VA 24460 Phone: 540-839-7137 Fax: 540-839-7088 |