Organization
COMMONWEALTH PRIMARY CARE
Active
Other names
Richmond Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA PARRISH (BILLING ADMINISTRATOR)
(804) 288-0399
Entity
Organization
Contact information
Practice address
1800 GLENSIDE DR STE 101, RICHMOND, VA 23226-3769
(804) 288-3001
(804) 673-5614
Mailing address
1800 GLENSIDE DR, SUITE 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141468
ANTHEM
VA
01
—
1750571287
PRACTICE NPI
VA
01
—
CC6597
RAILROAD MEDICARE
VA
Enumeration date
08/02/2006
Last updated
01/03/2012
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