Organization
FAMILY CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN F BURNS (ADMINISTRATOR)
(434) 239-8104
Entity
Organization
Contact information
Practice address
21556D TIMBERLAKE RD, LYNCHBURG, VA 24502-7234
(434) 239-8104
(434) 239-4312
Mailing address
21556D TIMBERLAKE RD, LYNCHBURG, VA 24502-7234
(434) 239-8104
(434) 239-4312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101040584
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035241
ANTHEM
VA
01
—
1205921210
NPI
VA
01
—
1679667174
NPI
VA
01
—
197594
ANTHEM
VA
01
—
C01732
MEDICARE GROUP NUMBER
VA
01
—
F2012
RAILROAD GROUP NUMBER
VA
Enumeration date
10/05/2006
Last updated
08/22/2020
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