Organization
ELKTON FAMILY AND CHILDRENS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER GRAYSON HILL FNP (EXECUTIVE DIRECTOR)
(540) 298-9900
Entity
Organization
Contact information
Practice address
115 E ROCKINGHAM ST, ELKTON, VA 22827-1522
(540) 298-9900
(540) 298-8991
Mailing address
115 E ROCKINGHAM ST, ELKTON, VA 22827-1522
(540) 298-9900
(540) 298-8991
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
0024166329
VA
261QP2300X
Primary Care Clinic/Center
Primary
0024166329
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101031417
DR STAUFFER'S VA LICENSE
VA
05
—
010119146
—
VA
01
—
1134126626
INDIVIDUAL NPI NUMBER
VA
01
—
1477751915
EFCMC NPI
VA
01
—
1538190434
DR. STAUFFER NPI
VA
05
—
5689660
—
VA
01
—
C10418
PTAN
VA
Enumeration date
07/06/2007
Last updated
12/23/2010
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