Fries Family Care Center PC

Organization Active NPI Rural Health Clinic/Center · Fries, VA

NPI 1295851145 · NPPES record last updated Nov 29, 2011

Key facts

NPI
1295851145
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
FRIES FAMILY CARE CENTER PC
Practice address
109 Carrol Dr
Fries, VA 24330-4532
Phone
(276) 744-3660
NPI assigned
Mar 22, 2007
Organization subpart
No

Authorized official

Name
Nance Lovelace, DO
Title
President
Phone
(276) 744-3660

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X VA Yes

Addresses

Primary practice location

109 Carrol Dr
Fries, VA 24330-4532

Mailing address

109 Carrol Dr
Fries, VA 24330-4532
Phone (276) 744-3660

Other identifiers

IdentifierTypeStateIssuer
010238692MedicaidVA
171691OtherVABCBS ANTHEM

Other providers in Fries, VA

All providers in Fries, VA · Rural Health Clinic/Center in Virginia

Sources for this page

Verify at the official NPI Registry.