| Little River Medical, LLC | |
|
464 Christiansburg Pike Ne Floyd VA 24091-3737 | |
| (540) 230-5186 | |
| Not Available |
| Full Name | Little River Medical, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 464 Christiansburg Pike Ne, Floyd, Virginia |
| Authorized Official Name and Position | Jared Douglas March (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5402305186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little River Medical, LLC Po Box 608 Floyd VA 24091-0608 Ph: (540) 230-5186 | Little River Medical, LLC 464 Christiansburg Pike Ne Floyd VA 24091-3737 Ph: (540) 230-5186 |
| NPI Number | 1225796196 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 07/18/2022 |
| Certification Date | 07/18/2022 |
| Medicare PECOS PAC ID | 2769877141 |
|---|---|
| Medicare Enrollment ID | O20220322000873 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225796196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Kenneth E Mccolley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003817966 PECOS PAC ID: 9133137441 Enrollment ID: I20060328000797 |
| Provider Name | Jared D March |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073834156 PECOS PAC ID: 4789831595 Enrollment ID: I20131030001895 |
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