| Chickahominy Family | |
|
2500 New Kent Hwy Quinton VA 23141-1735 | |
| (804) 932-4388 | |
| (804) 932-9860 |
| Full Name | Chickahominy Family |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 New Kent Hwy, Quinton, Virginia |
| Authorized Official Name and Position | K Michelle Christian (OFFICE MANAGER) |
| Authorized Official Contact | 8049324388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickahominy Family Po Box 7 Quinton VA 23141-0007 Ph: (804) 932-4388 | Chickahominy Family 2500 New Kent Hwy Quinton VA 23141-1735 Ph: (804) 932-4388 |
| NPI Number | 1043217912 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043217912 | NPI | - | NPPES |
| 065167 | Other | VA | BCBS |
| 057298 | Other | VA | BCBS |
| 5622557 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Virginia) | Primary |