Organization
AINSLEY MEDICAL LLC
Active
Organization
AINSLEY MEDICAL LLC
Active
Other names
Primary/Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK AINSLEY INNIS MD (MD)
(434) 421-6180
Entity
Organization
Contact information
Practice address
1108 MAIN ST, DANVILLE, VA 24541-2940
(434) 421-6180
(434) 235-2689
Mailing address
1108 MAIN ST, DANVILLE, VA 24541-2940
(434) 421-6180
(434) 835-2689
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740450220
UNITED HEALTH CARE
KY
01
—
1740450220
ANTHEM BCBS
VA
05
—
1740450220
—
VA
Enumeration date
01/08/2019
Last updated
09/02/2025
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