Ferrum College
Organization Active NPI Family Medicine Physician · Ferrum, VA
NPI 1063802890 · NPPES record last updated Feb 2, 2015
Key facts
- NPI
- 1063802890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FERRUM COLLEGE
- Practice address
- 590 Ferrum Mountain Rd
Hank Norton Center
Ferrum, VA 24088 - Phone
- (540) 365-4493
- Fax
- (972) 367-3451
- NPI assigned
- Feb 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Mouzon Bass III
- Title
- Agent
- Phone
- (800) 555-9073
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Sports Medicine (Family Medicine) Physician |
207QS0010X |
Addresses
Primary practice location
590 Ferrum Mountain Rd
Hank Norton Center
Ferrum, VA 24088
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Phone (800) 555-9073
Other names
- Ferrum College Sports Medicine
Other providers in Ferrum, VA
- Brittany K Butler
- Kyle Calhoun
- Brittany M Cockram
- Gabriel Lee Edmondson
- Family Preservation Services, Inc
- Martha Haley-Bowling
- April N Hazelwood
- Sarah Nicole Hendrix
- Cynthia Denise Hernandez
- Bozenna M Liszka
All providers in Ferrum, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.