| Primary Health Group Inc | |
|
13861 Hull Street Rd Midlothian VA 23112-2003 | |
| (804) 739-0910 | |
| (804) 739-2763 |
| Full Name | Primary Health Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 13861 Hull Street Rd, Midlothian, Virginia |
| Authorized Official Name and Position | Carol Smith (VP) |
| Authorized Official Contact | 8042377760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Group Inc 13861 Hull Street Rd Midlothian VA 23112-2003 Ph: (804) 739-0910 | Primary Health Group Inc 13861 Hull Street Rd Midlothian VA 23112-2003 Ph: (804) 739-0910 |
| NPI Number | 1144347378 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144347378 | NPI | - | NPPES |
| CE1200 | Other | RR MEDICARE | |
| 1144347378 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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