Organization
WEST AUGUSTA FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W ELSEA MD (CEO)
(540) 337-6002
Entity
Organization
Contact information
Practice address
21 SCENIC HIGHWAY, 101, CHURCHVILLE, VA 24421-0100
(540) 337-6002
(540) 337-6172
Mailing address
PO BOX 100, CHURCHVILLE, VA 24421-0100
(540) 337-6002
(540) 337-6172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101048631
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005614759
—
VA
01
—
0801075800
RAILROAD MEDICARE
VA
01
—
101527
ANTHEM
VA
01
—
21574
VIRGINIA PREMIER
VA
01
—
277670
SOUTHERN HEALTH
VA
Enumeration date
06/26/2007
Last updated
01/04/2011
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