Fries Family Care Center PC
Organization Active NPI Family Medicine Physician · Fries, VA
NPI 1851334197 · NPPES record last updated Jul 28, 2008
Key facts
- NPI
- 1851334197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- FRIES FAMILY CARE CENTER PC
- Practice address
- 109 Carrol Dr
Fries, VA 24330-4532 - Phone
- (276) 744-3660
- Fax
- (276) 744-3843
- NPI assigned
- Jun 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Sherrie Williams, RN, CPC
- Title
- Practice Administrator
- Phone
- (276) 744-3660
Practitioners 1
-
Kimberly D Hoffman-Goodson, CRNPF MS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | VA | Yes |
Addresses
Primary practice location
109 Carrol Dr
Fries, VA 24330-4532
Mailing address
PO Box 453
Fries, VA 24330-0453
Phone (276) 744-3660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C09443 | Other | VA | TRAILBLAZER MEDICARE |
| 010238692 | Medicaid | VA |
Other providers in Fries, VA
- Michael A Cobler
- Joy K Creed
- Fries Community Health Care Inc
- Fries Community Health Care Inc
- Fries Family Care Center PC
- Fries Volunteer Fire Department Inc
- Gladeview Medical LLC
- Roxanne Leigh Gravley
- Angela Jones
- Lifeguard,Personal Emergency Response Systems, LLC
All providers in Fries, 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 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.