Little River Medical, LLC
Organization Active NPI Internal Medicine Physician · Floyd, VA
NPI 1225796196 · NPPES record last updated Jul 18, 2022
Key facts
- NPI
- 1225796196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- LITTLE RIVER MEDICAL, LLC
- Practice address
- 464 Christiansburg Pike NE
Floyd, VA 24091-3737 - Phone
- (540) 230-5186
- NPI assigned
- Dec 7, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Jared Douglas March, DO
- Title
- Physician/Owner
- Phone
- (540) 230-5186
Practitioners 2
-
Jared D March, DO
-
Kenneth E McColley, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2249224 | Little River Medical LLC | Certificate of waiver | Jan 18, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220322000873 | VA | Part B Supplier - Clinic/Group Practice | 2769877141 |
Receives reassigned benefits from 2 practitioners Practice locations: Floyd, VA |
National Provider Directory
Locations
464 Christiansburg Pike NE
Floyd, VA 24091
Phone (540) 230-5186
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
464 Christiansburg Pike NE
Floyd, VA 24091-3737
Mailing address
PO Box 608
Floyd, VA 24091-0608
Phone (540) 230-5186
Other providers in Floyd, VA
- Joseph Klein
- Sarah Faith Knoeckel
- Garry Henry Kuiken
- Lucy Lamanna
- Tristan Leckie
- Pamela D Logan
- Jared D March
- Shalene Young Massie
- Jonathan J McNamara
- Allyson Meek
All providers in Floyd, VA · Internal 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 Jul 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.