Full Care Medical Center PC

Key facts

NPI: 1811121007
Entity type: Organization (NPI type 2)
Primary specialty: Family Medicine Physician 207Q00000X
Legal business name: FULL CARE MEDICAL CENTER PC
Practice address: 163 Number Ten St
Clinchco, VA 24226
Phone: (276) 835-1122
NPI assigned: May 4, 2009
Organization subpart: No

Authorized official

Name: Dr. James Abrokwah, M.D.
Title: President/Director
Phone: (272) 835-1122

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

James Abrokwah, MD Family Medicine Physician · Clinchco, VA · NPI 1750556171

Medicare reassignment NPD FAMILY MEDICINE · VA

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
49D2000183	Full Care Medical Center, PC 163 Number Ten Street, Clinchco, VA 24226	Certificate of waiver	Nov 22, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in VA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20091001000312	VA	Part B Supplier - Clinic/Group Practice	3375689599	Receives reassigned benefits from 1 practitioner Practice locations: Clinchco, VA

National Provider Directory

Locations

163 Number Ten St
Clinchco, VA 24226
Phone (276) 835-1122

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207Q00000X			Yes
General Practice Physician Group: 193200000X MULTI-SPECIALTY GROUP	208D00000X

Addresses

Primary practice location

163 Number Ten St
Clinchco, VA 24226

Mailing address

P O Box 356
Clinchco, VA 24226-0356
Phone (276) 835-1122

Other providers in Clinchco, VA

James Abrokwah, MD
Pamela S Perrigan-Bowman, REGISTERED NURSE

All providers in Clinchco, VA · Family 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 31, 2019. 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.

Verify at the official NPI Registry.