Organization
PRATT MEDICAL CENTER LTD
Active
Other names
PRATT HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WALKER (PRESIDENT)
(540) 345-3556
Entity
Organization
Contact information
Practice address
1451 HOSPITAL DR, FREDERICKSBURG, VA 22401-8424
(540) 786-2100
(540) 786-0677
Mailing address
PO BOX 8310, ROANOKE, VA 24014-0310
(540) 345-3556
(540) 342-2193
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0101034704
VA
207Q00000X
Family Medicine Physician
Primary
0101033516
VA
207R00000X
Internal Medicine Physician
0101234778
VA
207RG0100X
Gastroenterology Physician
0101236985
VA
207V00000X
Obstetrics & Gynecology Physician
0101237076
VA
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
0101231223
VA
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02375
MEDICARE GROUP
VA
01
—
CA9037
MEDICARE RAILROAD GROUP
VA
Enumeration date
06/22/2006
Last updated
06/13/2019
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