Active NPI
Primary Family Care LLC
- Prevention Professional
- Front Royal, VA
National Provider Identifier
1770017030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 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
National Provider Directory
National Provider DirectoryLocations
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.