| Goochland Family Practice | |
|
2948 River Road West Goochland VA 23063-0669 | |
| (804) 556-6101 | |
| (804) 556-6468 |
| Full Name | Goochland Family Practice |
|---|---|
| Speciality | General Practice |
| Location | 2948 River Road West, Goochland, Virginia |
| Authorized Official Name and Position | Frank Bain (LEAD PHYSICIAN) |
| Authorized Official Contact | 8045566101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goochland Family Practice Po Box 669 Goochland VA 23063-0669 Ph: (804) 556-6101 | Goochland Family Practice 2948 River Road West Goochland VA 23063-0669 Ph: (804) 556-6101 |
| NPI Number | 1356361398 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356361398 | NPI | - | NPPES |
| 5671175 | Medicaid | VA | |
| 052071 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101029901 (Virginia) | Primary |
Anew Divine Healthcare Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2913 River Rd W Ste K, Goochland, VA 23063 Phone: 804-658-8584 | |
Goochland Free Clinic And Family Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 Sandy Hook Rd, Goochland, VA 23063 Phone: 804-556-6260 Fax: 804-556-6208 |