Brackenrich Family Practice, Plc

LBN: Brackenrich Family Practice, Plc
Brackenrich Family Practice, Plc is an health care organization with primary practice located at 363 Woodland Street , Rich Creek VA 24147. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Brackenrich Family Practice, Plc can be contacted via phone (540) 726-2375, or through Ferguson, Kathryn via phone (540) 726-2375.

Contact Information

Primary practice address
363 Woodland Street Rich Creek VA 24147
Phone: (540) 726-2375
Fax: (540) 726-3573
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Kathryn
Phone: (540) 726-2375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1235229576
LBN Legal business name Brackenrich Family Practice, Plc
DBA Doing business as
Authorized official Ferguson, Kathryn
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 20th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235229576 NPPES
West Virginia MEDICAID 0007995002
West Virginia Other 49D0231961

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