Beachgate Family Medical Center LLC

Organization Active NPI Primary Care Clinic/Center · Colonial Beach, VA

NPI 1669829966 · NPPES record last updated May 17, 2016

Key facts

NPI
1669829966
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
BEACHGATE FAMILY MEDICAL CENTER LLC
Practice address
700 McKinney Blvd Ste 100
Colonial Beach, VA 22443-1933
Phone
(804) 224-6322
NPI assigned
May 17, 2016
Organization subpart
No

Authorized official

Name
Ms. Jessica Herrink
Title
Member
Phone
(804) 761-7792

National Provider Directory

Locations

700 McKinney Blvd
Ste 100
Colonial Beach, VA 22443
Phone (804) 224-6322

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

700 McKinney Blvd Ste 100
Colonial Beach, VA 22443-1933

Mailing address

8546 Gray Fox LN
King George, VA 22485-3572
Phone (804) 761-7792

Other providers in Colonial Beach, VA

All providers in Colonial Beach, VA · Primary Care Clinic/Center in Virginia

Sources for this page

Verify at the official NPI Registry.