# CENTRAL VIRGINIA FAMILY PHYSICIANS, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
- **Other names:** BLUE RIDGE IMMEDIATE CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1972680049
- **Legal business name:** CENTRAL VIRGINIA FAMILY PHYSICIANS, INC
- **Authorized official:** KAREN L HAYNES (STAFF CREDENTIALING MANAGER)
- **Authorized official phone:** (434) 382-1139

## Contact information

- **Practice address:** 2137 LAKESIDE DR, LYNCHBURG, VA 24501-6803
- **Practice address phone:** (434) 385-4184
- **Practice address fax:** (434) 385-0381
- **Mailing address:** PO BOX 2489, FOREST, VA 24551-6489
- **Mailing address phone:** (434) 382-1139
- **Mailing address fax:** (434) 525-5748

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 03/30/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1528155892 | CVFP CORPORATE NPI | VA |
| 05 | — | 1528155892 | — | VA |
| 01 | — | CA2436 | MEDICARE RAILROAD | VA |
| 01 | — | CO3658 | CVFP MCARE GROUP PTAN | VA |