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Organization
COMMONWEALTH PRIMARY CARE
Active
Organization
COMMONWEALTH PRIMARY CARE
Active
Other names
Family Physicians, Ridgefield
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA PARRISH (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization
Contact information
Practice address
2200 PUMP RD, SUITE 100, RICHMOND, VA 23233-3539
(804) 741-7141
(804) 741-6082
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141465
ANTHEM
VA
01
—
CJ7063
RAILROAD MEDICARE
VA
Enumeration date
12/14/2006
Last updated
09/16/2011
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