| Mountain Region Family Medicine, Pc | |
|
390 Kane St Gate City VA 24251-3407 | |
| (276) 386-3411 | |
| (276) 286-2492 |
| Full Name | Mountain Region Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 390 Kane St, Gate City, Virginia |
| Authorized Official Name and Position | Michelle Y Repass (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Contact | 2763863411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Region Family Medicine, Pc 390 Kane St Gate City VA 24251-2753 Ph: (276) 386-3411 | Mountain Region Family Medicine, Pc 390 Kane St Gate City VA 24251-3407 Ph: (276) 386-3411 |
| NPI Number | 1740292366 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 02/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740292366 | NPI | - | NPPES |
| CA3908 | Other | RAILROAD MEDICARE | |
| 4401019 | Medicaid | TN | |
| 037070 | Other | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mountain Region Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Kane St, Gate City, VA 24251 Phone: 276-386-3411 Fax: 276-386-3492 |