West Augusta Family Practice
Organization Active NPI Specialist · Churchville, VA
NPI 1184820185 · NPPES record last updated Jan 4, 2011
Key facts
- NPI
- 1184820185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 0101048631 (VA)
- Legal business name
- WEST AUGUSTA FAMILY PRACTICE
- Practice address
- 21 Scenic Highway
101
Churchville, VA 24421-0100 - Phone
- (540) 337-6002
- Fax
- (540) 337-6172
- NPI assigned
- Jun 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Richard W Elsea, MD
- Title
- Ceo
- Phone
- (540) 337-6002
National Provider Directory
Locations
21 Scenic Hwy
Ste 101
Churchville, VA 24421
Phone (540) 337-6002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 0101048631 | VA | Yes |
Addresses
Primary practice location
21 Scenic Highway
101
Churchville, VA 24421-0100
Mailing address
PO Box 100
Churchville, VA 24421-0100
Phone (540) 337-6002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005614759 | Medicaid | VA | |
| 0801075800 | Other | VA | RAILROAD MEDICARE |
| 101527 | Other | VA | ANTHEM |
| 21574 | Other | VA | VIRGINIA PREMIER |
| 277670 | Other | VA | SOUTHERN HEALTH |
Other providers in Churchville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2011. 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.