Organization Active NPI

Primary Family Care LLC

  • Prevention Professional
  • Front Royal, VA
National Provider Identifier
1770017030
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
Legal business name
PRIMARY FAMILY CARE LLC
Practice address
327 N Royal Ave
Front Royal, VA 22630-2617
Phone
(571) 322-1372
Fax
(540) 727-8880
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Alita Gilliom
Title
Owner
Phone
(571) 322-1372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention ProfessionalGroup: 193400000X SINGLE SPECIALTY GROUP 405300000X Primary

Addresses

Primary practice location

327 N Royal Ave
Front Royal, VA 22630-2617

Mailing address

12805 Cara Dr
Woodbridge, VA 22192-2732
Phone (571) 322-1372

Other names 1

  • Front Royal Walk-in Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

327 N Royal Ave
Front Royal, VA 22630
Phone (571) 322-1372

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1770017030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 CARA DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922732",
            "telephone_number": "571-322-1372",
            "fax_number": "540-727-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 N ROYAL AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302617",
            "telephone_number": "571-322-1372",
            "fax_number": "540-727-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "GILLIOM",
        "authorized_official_first_name": "ALITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-322-1372",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Front Royal Walk-in Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.