| Patrick County Family Practice Pc Rhc Stuart | |
|
18877 Jeb Stuart Highway Stuart VA 24171-1019 | |
| (276) 694-4466 | |
| (276) 694-2909 |
| Full Name | Patrick County Family Practice Pc Rhc Stuart |
|---|---|
| Speciality | Clinic/Center |
| Location | 18877 Jeb Stuart Highway, Stuart, Virginia |
| Authorized Official Name and Position | Richard Claude Cole (PRESIDENT) |
| Authorized Official Contact | 2766944466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick County Family Practice Pc Rhc Stuart Po Box 1019 Stuart VA 24171-1019 Ph: (276) 694-4466 | Patrick County Family Practice Pc Rhc Stuart 18877 Jeb Stuart Highway Stuart VA 24171-1019 Ph: (276) 694-4466 |
| NPI Number | 1063589448 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 0941232557 |
|---|---|
| Medicare Enrollment ID | O20120423000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063589448 | NPI | - | NPPES |
| 1235136920 | Other | RALPH L.KRAMER,M.D. | |
| 1861499691 | Other | ELIZABETH A.SHOCKLEY, NP | |
| 1871590562 | Other | KIMBERLY D.COMPTON, PA | |
| 7610289 | Medicaid | VA | |
| 1972500668 | Other | RICHARD C.COLE,M.D. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Patrick County Family Practice,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18877 Jeb Stuart Highway, Stuart, VA 24171 Phone: 276-694-4466 Fax: 276-694-2909 | |
Patrick Hospital Express Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-8678 Fax: 276-694-8655 | |
Pioneer Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 835 Woodland Dr, Stuart, VA 24171 Phone: 276-694-6677 Fax: 276-694-6827 | |
Patrick Hospital, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-8678 Fax: 276-694-8655 | |
Pch Express Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18688 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-3151 Fax: 276-694-8655 | |
Tri Area Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 18877 Jeb Stuart Hwy, Stuart, VA 24171 Phone: 276-694-4466 Fax: 276-694-2909 |