| Chase City Primary Care Center, Llc | |
|
200 E 5th St Chase City VA 23924-1456 | |
| (434) 372-0900 | |
| (434) 372-8681 |
| Full Name | Chase City Primary Care Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 200 E 5th St, Chase City, Virginia |
| Authorized Official Name and Position | Ronnie Tatum (VP OF FINANCE/CFO) |
| Authorized Official Contact | 4347742400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chase City Primary Care Center, Llc 200 E 5th St Chase City VA 23924-1456 Ph: (434) 372-0900 | Chase City Primary Care Center, Llc 200 E 5th St Chase City VA 23924-1456 Ph: (434) 372-0900 |
| NPI Number | 1790739761 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 10/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790739761 | NPI | - | NPPES |
| 5903162 | Other | VA | NC MEDICAID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |
Chase City Primary Care Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E 5th St, Chase City, VA 23924 Phone: 434-372-0900 Fax: 434-372-8681 | |
Halifax Regional Hospital, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 946 N Main St, Chase City, VA 23924 Phone: 434-372-5141 |