| Commonwealth Primary Care | |
|
4050 Innslake Dr Ste 308 Glen Allen VA 23060 | |
| (804) 521-5310 | |
| (804) 521-5312 |
| Full Name | Commonwealth Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 4050 Innslake Dr, Glen Allen, Virginia |
| Authorized Official Name and Position | Kelly Shepherd (HOSPITALIST ADMINISTRATOR) |
| Authorized Official Contact | 8045215315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Primary Care 4050 Innslake Dr Ste 308 Glen Allen VA 23060-3327 Ph: (804) 521-5315 | Commonwealth Primary Care 4050 Innslake Dr Ste 308 Glen Allen VA 23060 Ph: (804) 521-5310 |
| NPI Number | 1336157858 |
|---|---|
| Provider Enumeration Date | 08/03/2006 |
| Last Update Date | 11/08/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336157858 | NPI | - | NPPES |
| 139444 | Other | VA | ANTHEM BCBS |
| CC6597 | Other | VA | MEDICARE RR |
| 139440 | Other | VA | ANTHEM BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Patient First Richmond Physician's Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Cox Rd, Suite 100, Glen Allen, VA 23060 Phone: 804-968-5700 Fax: 804-217-7991 | |
Occupational Health Centers Of The Southwest P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 W Broad St, Suite C, Glen Allen, VA 23060 Phone: 804-358-0361 | |
Allyalign Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10900 Nuckols Rd, Suite 110, Glen Allen, VA 23060 Phone: 804-747-0720 Fax: 804-823-2568 | |
Bon Secours-st. Mary's Hospital Of Richmond, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059 Phone: 804-612-2980 Fax: 804-762-7102 | |
Vera Whole Health Wa, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11341 W Broad St, Glen Allen, VA 23060 Phone: 804-655-6011 | |
Glen Allen Medi Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd Ste C, Glen Allen, VA 23059 Phone: 704-926-7546 | |
Virginia Physicians, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Cox Rd, Suite 150, Glen Allen, VA 23060 Phone: 804-346-1780 Fax: 804-346-1781 |