| Cpc Hospitalist Division | |
|
4050 Innslake Dr Ste 308 Glen Allen VA 23060 | |
| (804) 521-5310 | |
| (804) 521-5312 |
| Full Name | Cpc Hospitalist Division |
|---|---|
| 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 |
|---|---|
| Cpc Hospitalist Division 4050 Innslake Dr Ste 308 Glen Allen VA 23060-3327 Ph: (804) 521-5315 | Cpc Hospitalist Division 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 |
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