Organization
CHRISTIANSBURG FAMILY PRACTICE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH E JONES M.D. (PRESIDENT)
(540) 382-6148
Entity
Organization
Contact information
Practice address
6 HICKOK ST, CHRISTIANSBURG, VA 24073-3524
(540) 382-6148
(540) 382-4191
Mailing address
6 HICKOK ST, CHRISTIANSBURG, VA 24073-3524
(540) 382-6148
(540) 382-4191
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101026426
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1515558
UMWA PROVIDER NUMBER
VA
01
—
1733327
UNITED HEALTHCARE
VA
01
—
237816
MAMSI PROVIDER NUMBER
VA
01
—
263539
ANTHEM
VA
01
—
4218482
AETNA PROVIDER NUMBER
VA
01
—
76828
SOUTHERN HEALTH PROVIDER
VA
01
—
C05193
MEDICARE
VA
Enumeration date
04/26/2006
Last updated
04/20/2008
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