# COMMONWEALTH PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750571287
- **Authorized official:** MS. ERIKA PARRISH (BILLING ADMINISTRATOR)
- **Authorized official phone:** (804) 288-0399

## Contact information

- **Practice address:** 1800 GLENSIDE DR STE 105, RICHMOND, VA 23226-3769
- **Practice address phone:** (804) 288-0399
- **Practice address fax:** (804) 285-0088
- **Mailing address:** 1800 GLENSIDE DR STE 105, RICHMOND, VA 23226-3769
- **Mailing address phone:** (804) 288-0399
- **Mailing address fax:** (804) 285-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 09/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1141467 | ANTHEM | VA |
| 01 | — | 141464 | ANTHEM | VA |
| 01 | — | 141465 | ANTHEM | VA |
| 01 | — | 141466 | ANTHEM | VA |
| 01 | — | 141468 | ANTHEM | VA |
| 01 | — | 141469 | ANTHEM | VA |
| 01 | — | 292413 | ANTHEM | VA |
| 01 | — | 303278 | ANTHEM | VA |
| 01 | — | 304078 | ANTHEM | VA |
| 01 | — | CC6597 | MEDICARE RAILROAD | VA |
| 01 | — | CJ7063 | MEDICARE RAILROAD | VA |
| 01 | — | CK5367 | MEDICARE RAILROAD | VA |
| 01 | — | CL1914 | MEDICARE RAILROAD | VA |