Courthouse Family Practice Pc

LBN: Courthouse Family Practice Pc
Courthouse Family Practice Pc is an health care organization with primary practice located at 1108 Courthouse Rd Suite D, Richmond VA 23236-3197. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Courthouse Family Practice Pc can be contacted via phone (804) 423-5050, or through Taylor, Gail L via phone (804) 423-5050.

Contact Information

Primary practice address
1108 Courthouse Rd Suite D Richmond VA 23236-3197
Phone: (804) 423-5050
Fax: (804) 423-5048
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Gail L Doctor of Medicine (MD)
Phone: (804) 423-5050

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 0101045480 Virginia

Profile Details

NPI number 1124255914
LBN Legal business name Courthouse Family Practice Pc
DBA Doing business as
Authorized official Taylor, Gail L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2009
Last updated Oct 26th, 2010 - about 16 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 1124255914 NPPES
Virginia Other 256377 ANTHEM
Virginia MEDICAID 005602131 ANTHEM
Virginia Other 113086 ANTHEM
Virginia Other 4322278 ANTHEM

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