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Organization

COMMONWEALTH PRIMARY CARE

Active
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 105, RICHMOND, VA 23226-3769
(804) 288-0399
(804) 285-0088
Mailing address
1800 GLENSIDE DR STE 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
1141467
ANTHEM
VA
01
141464
ANTHEM
VA
01
141465
ANTHEM
VA
01
141466
ANTHEM
VA
01
141468
ANTHEM
VA
01
141469
ANTHEM
VA
01
292413
ANTHEM
VA
01
303278
ANTHEM
VA
01
304078
ANTHEM
VA
01
CC6597
MEDICARE RAILROAD
VA
01
CJ7063
MEDICARE RAILROAD
VA
01
CK5367
MEDICARE RAILROAD
VA
01
CL1914
MEDICARE RAILROAD
VA
Enumeration date
07/31/2007
Last updated
09/15/2011
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