West Augusta Family Practice in Churchville - Specialist
West Augusta Family Practice - NPI 1184820185
West Augusta Family Practice is a Specialist in Churchville, Virginia. West Augusta Family Practice practices all healthcare services and medical treatments related to Specialist. The NPI Number for West Augusta Family Practice is 1184820185. The last update date is 2011-01-04.
West Augusta Family Practice's current location address is Po Box 100, Churchville, Virginia. You can contact this provider via phone number 5403376002 and fax number 5403376172. The mailing address for West Augusta Family Practice is Po Box 100, Churchville, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Augusta Family Practice |
|---|---|
| Address | Po Box 100, Churchville, Virginia |
| Phone Number | 5403376002 |
| Fax Number | 5403376172 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Elsea W Richard |
| Credentials | MD |
| Telephone Number | 5403376002 |
NPI Number Detail
| NPI Number | 1184820185 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2011-01-04 |
Provider Mailing Address Detail
| Address | Po Box 100 |
|---|---|
| City | Churchville |
| State | Virginia (VA) |
| Post Code | 244210100 |
| Phone Number | 5403376002 |
| Fax Number | 5403376172 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101048631 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5614759 | VA | -- | |
| 801075800 | VA | RAILROAD MEDICARE | |
| 101527 | VA | ANTHEM | |
| 21574 | VA | VIRGINIA PREMIER | |
| 277670 | VA | SOUTHERN HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to West Augusta Family Practice by the Centers for Medicare & Medicaid Services?
The West Augusta Family Practice has been assigned the NPI (National Provider Identifier) 1184820185 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where West Augusta Family Practice is physically located?
The West Augusta Family Practice is situated at the following address: Po Box 100, Churchville, VA 244210100.
What is West Augusta Family Practice's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for West Augusta Family Practice is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the West Augusta Family Practice receive the assignment of its 1184820185 from the Centers for Medicare & Medicaid Services?
The West Augusta Family Practice was issued its 1184820185 by the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the information related to West Augusta Family Practice most recently updated or refreshed?
The details pertaining to the West Augusta Family Practice, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-04.