| Gladeview Medical Llc | |
|
279 Gladeview Dr Fries VA 24330-3936 | |
| (276) 233-7864 | |
| Not Available |
| Full Name | Gladeview Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 279 Gladeview Dr, Fries, Virginia |
| Authorized Official Name and Position | Heather Richardson (FAMILY NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2762337864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gladeview Medical Llc 279 Gladeview Dr Fries VA 24330-3936 Ph: (276) 233-7864 | Gladeview Medical Llc 279 Gladeview Dr Fries VA 24330-3936 Ph: (276) 233-7864 |
| NPI Number | 1962022392 |
|---|---|
| Provider Enumeration Date | 04/27/2020 |
| Last Update Date | 04/27/2020 |
| Medicare PECOS PAC ID | 4183046790 |
|---|---|
| Medicare Enrollment ID | O20200626000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962022392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Heather D Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346553575 PECOS PAC ID: 2860518628 Enrollment ID: I20100929000867 |
Tri Area Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 Carroll Dr, Fries, VA 24330 Phone: 276-398-2292 | |
Fries Family Care Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Carrol Dr, Fries, VA 24330 Phone: 276-744-3660 | |
Fries Community Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Carroll Drive, Fries, VA 24330 Phone: 276-744-3660 | |
Fries Community Health Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Carrol Dr, Fries, VA 24330 Phone: 276-744-3660 | |
Fries Family Care Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Carrol Dr, Fries, VA 24330 Phone: 276-744-3660 Fax: 276-744-3843 |