| Halifax Gastroenterology | |
|
45 Main St Halifax VA 24558-3211 | |
| (434) 476-1220 | |
| (434) 476-1440 |
| Full Name | Halifax Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 45 Main St, Halifax, Virginia |
| Authorized Official Name and Position | Charles H. Parker (PRESIDENT) |
| Authorized Official Contact | 4344761220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halifax Gastroenterology Po Box 397 South Boston VA 24592-0397 Ph: (434) 476-1220 | Halifax Gastroenterology 45 Main St Halifax VA 24558-3211 Ph: (434) 476-1220 |
| NPI Number | 1720168032 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 04/02/2013 |
| Medicare PECOS PAC ID | 9032174651 |
|---|---|
| Medicare Enrollment ID | O20041123000600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720168032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101041330 (Virginia) | Primary |
| Provider Name | Charles Harrison Parker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912963091 PECOS PAC ID: 4082643762 Enrollment ID: I20061127000187 |
Halifax Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 N Main St, Halifax, VA 24558 Phone: 434-476-7455 Fax: 434-476-6385 | |
White Oak Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 235 N Main St, Halifax, VA 24558 Phone: 434-830-2605 Fax: 434-830-2258 |