| Family Medical Associates | |
|
1004 Tavern Rd Martinsburg WV 25401-2864 | |
| (304) 264-4433 | |
| (304) 264-4446 |
| Full Name | Family Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1004 Tavern Rd, Martinsburg, West Virginia |
| Authorized Official Name and Position | Chris Clinton Que (PRESIDENT) |
| Authorized Official Contact | 3042644433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Associates 1004 Tavern Rd Martinsburg WV 25401-2864 Ph: (304) 264-4433 | Family Medical Associates 1004 Tavern Rd Martinsburg WV 25401-2864 Ph: (304) 264-4433 |
| NPI Number | 1982876587 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 1850462888 |
|---|---|
| Medicare Enrollment ID | O20080619000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982876587 | NPI | - | NPPES |
| 3810011501 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23821 (West Virginia) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 20638 (West Virginia) | Primary |
| Provider Name | Chris C Que |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669432043 PECOS PAC ID: 5496846248 Enrollment ID: I20070808000198 |
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