Organization
CENTRAL VIRGINIA FAMILY PHYSICIANS INC
Active
Parent organization
CENTRAL VIRGINIA FAMILY PHYSICIANS INC
Other names
MONELISON FAMILY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA FAMILY PHYSICIANS INC
Authorized official
KAREN L HAYNES (STAFF CREDENTIALING MANAGER)
(434) 382-1139
Entity
Organization
Contact information
Practice address
4262 S AMHERST HWY, MADISON HEIGHTS, VA 24572-5363
(434) 846-8421
(434) 846-2655
Mailing address
PO BOX 2489, FOREST, VA 24551-6489
(434) 382-1139
(434) 525-5748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907130011
MEDICARE DME
—
01
—
1528155892
CVFP CORPORATE NPI
VA
01
—
CC2392
MEDICARE RAILROAD
VA
01
—
CO3658
CVFP MCARE GROUP PTAN
VA
Enumeration date
11/02/2006
Last updated
11/28/2011
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